| Floral Park Medical Pc | |
|
25720 Hillside Ave First Floor Floral Park NY 11004-1653 | |
| (917) 903-3885 | |
| Not Available |
| Full Name | Floral Park Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25720 Hillside Ave, Floral Park, New York |
| Authorized Official Name and Position | Himanshu Pandya (PRESIDENT) |
| Authorized Official Contact | 9179033885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Floral Park Medical Pc 34 Tottenham Pl New Hyde Park NY 11040-3517 Ph: (516) 873-0304 | Floral Park Medical Pc 25720 Hillside Ave First Floor Floral Park NY 11004-1653 Ph: (917) 903-3885 |
| NPI Number | 1023147378 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 09/11/2008 |
| Medicare PECOS PAC ID | 5890891873 |
|---|---|
| Medicare Enrollment ID | O20070608000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023147378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 232885 (New York) | Primary |
| Provider Name | Himanshu Pandya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003896929 PECOS PAC ID: 3870558182 Enrollment ID: I20041129000664 |
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