| Good Shepherd Primary Care PC | |
|
1111 Route 110 Farmingdale NY 11735-4820 | |
| (516) 895-5050 | |
| (516) 895-5088 |
| Full Name | Good Shepherd Primary Care PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Route 110, Farmingdale, New York |
| Authorized Official Name and Position | Heba a Zaher (MD) |
| Authorized Official Contact | 5168955050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd Primary Care PC 1111 Route 110 Farmingdale NY 11735-4820 Ph: (516) 895-5050 | Good Shepherd Primary Care PC 1111 Route 110 Farmingdale NY 11735-4820 Ph: (516) 895-5050 |
| NPI Number | 1649795394 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 02/14/2024 |
| Certification Date | 07/05/2023 |
| Medicare PECOS PAC ID | 6406247410 |
|---|---|
| Medicare Enrollment ID | O20211230001572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649795394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 207R00000X | Internal Medicine | 267443 (New York) | Primary |
| Provider Name | Heba a Zaher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316170871 PECOS PAC ID: 3678717253 Enrollment ID: I20130920000652 |
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