| Getwell Med-care Pc | |
|
6417 Broadway Woodside NY 11377-2336 | |
| (718) 205-6561 | |
| (718) 205-4815 |
| Full Name | Getwell Med-care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6417 Broadway, Woodside, New York |
| Authorized Official Name and Position | Shamim Ahmed (OWNER) |
| Authorized Official Contact | 7182056561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Getwell Med-care Pc 6011 Broadway Apt #3r Woodside NY 11377-2164 Ph: (718) 205-6561 | Getwell Med-care Pc 6417 Broadway Woodside NY 11377-2336 Ph: (718) 205-6561 |
| NPI Number | 1225251507 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 10/27/2009 |
| Medicare PECOS PAC ID | 8527105410 |
|---|---|
| Medicare Enrollment ID | O20091026000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225251507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shamim Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003839655 PECOS PAC ID: 3870538028 Enrollment ID: I20050628000400 |
| Provider Name | Hyun Ji Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508259722 PECOS PAC ID: 4486943289 Enrollment ID: I20160518000951 |
| Provider Name | Luva M Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134642598 PECOS PAC ID: 6901166883 Enrollment ID: I20180214002629 |
| Provider Name | Sandhya Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427571793 PECOS PAC ID: 6002229606 Enrollment ID: I20201228001336 |
| Provider Name | Eun Sung Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205336559 PECOS PAC ID: 9638582372 Enrollment ID: I20210119001754 |
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