| George John Ayyad Physician Pc | |
|
1800 Clove Rd Staten Island NY 10304-1616 | |
| (718) 727-1644 | |
| (718) 727-7365 |
| Full Name | George John Ayyad Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Clove Rd, Staten Island, New York |
| Authorized Official Name and Position | George J Ayyad (OWNER/OPERATOR) |
| Authorized Official Contact | 7187271644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George John Ayyad Physician Pc 1800 Clove Rd Staten Island NY 10304-1616 Ph: (718) 727-1644 | George John Ayyad Physician Pc 1800 Clove Rd Staten Island NY 10304-1616 Ph: (718) 727-1644 |
| NPI Number | 1063682565 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 06/03/2019 |
| Medicare PECOS PAC ID | 6305876376 |
|---|---|
| Medicare Enrollment ID | O20050818000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063682565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 174696 (New York) | Primary |
| Provider Name | George J Ayyad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083659452 PECOS PAC ID: 7113957184 Enrollment ID: I20050825000978 |
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