| Hillside Medical Care Nyc Pc | |
|
87 46 Chelsea St. Suite Lc Jamaica NY 11432 | |
| (718) 657-7900 | |
| (718) 657-7902 |
| Full Name | Hillside Medical Care Nyc Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 87 46 Chelsea St., Jamaica, New York |
| Authorized Official Name and Position | Farzana Nizami (INTERNIST) |
| Authorized Official Contact | 7186577900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillside Medical Care Nyc Pc 87 46 Chelsea St. Suite Lc Jamaica NY 11432 Ph: (718) 657-7900 | Hillside Medical Care Nyc Pc 87 46 Chelsea St. Suite Lc Jamaica NY 11432 Ph: (718) 657-7900 |
| NPI Number | 1093127532 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 06/02/2014 |
| Medicare PECOS PAC ID | 6709000722 |
|---|---|
| Medicare Enrollment ID | O20140613001360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093127532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Farzana Nizami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467512657 PECOS PAC ID: 6800780297 Enrollment ID: I20040209000214 |
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