| Flushing Family & Medical Practice Pc | |
|
14420 29th Ave Flushing NY 11354-1331 | |
| (718) 460-1681 | |
| Not Available |
| Full Name | Flushing Family & Medical Practice Pc |
|---|---|
| Speciality | General Practice |
| Location | 14420 29th Ave, Flushing, New York |
| Authorized Official Name and Position | Louis Peralte (MD) |
| Authorized Official Contact | 7184601681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flushing Family & Medical Practice Pc 14420 29th Ave Flushing NY 11354-1331 Ph: (718) 460-1681 | Flushing Family & Medical Practice Pc 14420 29th Ave Flushing NY 11354-1331 Ph: (718) 460-1681 |
| NPI Number | 1629389325 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 05/28/2015 |
| Medicare PECOS PAC ID | 4789869488 |
|---|---|
| Medicare Enrollment ID | O20110422000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629389325 | NPI | - | NPPES |
| 01523275 | Medicaid | NY | |
| 1629389325 | Other | NPI | |
| 01579 | Other | P10 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 195347 (New York) | Primary |
| Provider Name | Louis Ludovic Peralte |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508851932 PECOS PAC ID: 2365636487 Enrollment ID: I20101103000377 |
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