| Great Health Medical Ca Pc | |
|
407 Willoughby Ave Brooklyn NY 11205-4590 | |
| (212) 201-1252 | |
| Not Available |
| Full Name | Great Health Medical Ca Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 407 Willoughby Ave, Brooklyn, New York |
| Authorized Official Name and Position | Sonika Randev (MD) |
| Authorized Official Contact | 6178215319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Health Medical Ca Pc 407 Willoughby Ave Brooklyn NY 11205-4590 Ph: () - | Great Health Medical Ca Pc 407 Willoughby Ave Brooklyn NY 11205-4590 Ph: (212) 201-1252 |
| NPI Number | 1285448530 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 12/03/2025 |
| Medicare PECOS PAC ID | 1951825207 |
|---|---|
| Medicare Enrollment ID | O20250501001583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285448530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sonika Randev |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023403268 PECOS PAC ID: 4880019108 Enrollment ID: I20250501001907 |
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