| FM Medical Services LLC | |
|
6136 170th St Apt M4 Fresh Meadows NY 11365-1957 | |
| (718) 709-0940 | |
| Not Available |
| Full Name | FM Medical Services LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6136 170th St Apt M4, Fresh Meadows, New York |
| Authorized Official Name and Position | Peyman E Younesi (OWNER) |
| Authorized Official Contact | 7187090940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| FM Medical Services LLC 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 709-0940 | FM Medical Services LLC 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 709-0940 |
| NPI Number | 1659073591 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Medicare PECOS PAC ID | 0143685644 |
|---|---|
| Medicare Enrollment ID | O20230506000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659073591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Ali Tabarroki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952794489 PECOS PAC ID: 5395065049 Enrollment ID: I20210331002814 |
| Provider Name | Peyman Younesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20211208000113 |
| Provider Name | Chelsea Reichert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578037693 PECOS PAC ID: 6608105606 Enrollment ID: I20230804000439 |
| Provider Name | Tolulope Ajani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164893756 PECOS PAC ID: 9133470982 Enrollment ID: I20240705001447 |
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