| Ezra Medical Care Pc | |
|
15009 Northern Blvd 1fl Flushing NY 11354-3888 | |
| (718) 886-9115 | |
| Not Available |
| Full Name | Ezra Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15009 Northern Blvd, Flushing, New York |
| Authorized Official Name and Position | Hang Jun Jang (PRESIDENT) |
| Authorized Official Contact | 7188869115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ezra Medical Care Pc 15009 Northern Blvd Flushing NY 11354-3888 Ph: (718) 886-7575 | Ezra Medical Care Pc 15009 Northern Blvd 1fl Flushing NY 11354-3888 Ph: (718) 886-9115 |
| NPI Number | 1336554815 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 10/03/2022 |
| Medicare PECOS PAC ID | 4385864727 |
|---|---|
| Medicare Enrollment ID | O20141007000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336554815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 251295 (New York) | Primary |
| Provider Name | Hangjun Jang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568607919 PECOS PAC ID: 5395802466 Enrollment ID: I20090318000156 |
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