| Health Edge Medical Care Pllc | |
|
504 Medford Ave Patchogue NY 11772-1321 | |
| (631) 475-4646 | |
| (631) 447-5234 |
| Full Name | Health Edge Medical Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 504 Medford Ave, Patchogue, New York |
| Authorized Official Name and Position | Ferdousi Shilpee (M.D/OWNER) |
| Authorized Official Contact | 6314754646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Edge Medical Care Pllc 504 Medford Ave Patchogue NY 11772-1321 Ph: (631) 475-4646 | Health Edge Medical Care Pllc 504 Medford Ave Patchogue NY 11772-1321 Ph: (631) 475-4646 |
| NPI Number | 1821403387 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 06/24/2014 |
| Medicare PECOS PAC ID | 9931329950 |
|---|---|
| Medicare Enrollment ID | O20140925001109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821403387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 247597 (New York) | Primary |
| Provider Name | Ferdousi B Shilpee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861666877 PECOS PAC ID: 6305908450 Enrollment ID: I20081224000018 |
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