| Eric J Yousha DO PC | |
|
2870 Hempstead Tpke Ste 106 Levittown NY 11756-1341 | |
| (516) 226-7150 | |
| (516) 226-7151 |
| Full Name | Eric J Yousha DO PC |
|---|---|
| Speciality | Family Medicine |
| Location | 2870 Hempstead Tpke Ste 106, Levittown, New York |
| Authorized Official Name and Position | Eric J Yousha (OWNER) |
| Authorized Official Contact | 5162267150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric J Yousha DO PC 7 Disc Ln Wantagh NY 11793-1811 Ph: (516) 554-4833 | Eric J Yousha DO PC 2870 Hempstead Tpke Ste 106 Levittown NY 11756-1341 Ph: (516) 226-7150 |
| NPI Number | 1912461351 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 2769723600 |
|---|---|
| Medicare Enrollment ID | O20190403000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912461351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Eric J Yousha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235391129 PECOS PAC ID: 8325231459 Enrollment ID: I20101021001053 |
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