| Healthy Way Medical Pc | |
|
349 W Old Country Rd Hicksville NY 11801-4107 | |
| (347) 510-5421 | |
| Not Available |
| Full Name | Healthy Way Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 349 W Old Country Rd, Hicksville, New York |
| Authorized Official Name and Position | Lisa Persaud (PRESIDENT) |
| Authorized Official Contact | 3475105421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Way Medical Pc 200 Covert Ave Floral Park NY 11001-3741 Ph: (347) 510-5421 | Healthy Way Medical Pc 349 W Old Country Rd Hicksville NY 11801-4107 Ph: (347) 510-5421 |
| NPI Number | 1508142373 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 03/13/2023 |
| Medicare PECOS PAC ID | 7618136045 |
|---|---|
| Medicare Enrollment ID | O20120305000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508142373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa N Persaud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124351093 PECOS PAC ID: 7214064930 Enrollment ID: I20100428000504 |
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