| Fast Doc Llc | |
|
215 Water St Brooklyn NY 11201-1131 | |
| (347) 462-0635 | |
| Not Available |
| Full Name | Fast Doc Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Water St, Brooklyn, New York |
| Authorized Official Name and Position | Kimya Sims (BILLING MANAGER) |
| Authorized Official Contact | 9173383876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fast Doc Llc 215 Water St Brooklyn NY 11201-1131 Ph: (347) 462-0635 | Fast Doc Llc 215 Water St Brooklyn NY 11201-1131 Ph: (347) 462-0635 |
| NPI Number | 1174307854 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 05/29/2025 |
| Medicare PECOS PAC ID | 7214371293 |
|---|---|
| Medicare Enrollment ID | O20240217000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174307854 | NPI | - | NPPES |
| Provider Name | Mirada A Kangah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801296926 PECOS PAC ID: 5496187486 Enrollment ID: I20191113000513 |
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