| Ideal Medical Care Of New York, Pllc | |
|
2 Arkansas Dr Valley Stream NY 11580-1801 | |
| (516) 285-1270 | |
| (516) 285-1271 |
| Full Name | Ideal Medical Care Of New York, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Arkansas Dr, Valley Stream, New York |
| Authorized Official Name and Position | Zeeshan Sultana Hasan (PRESIDENT) |
| Authorized Official Contact | 5162851270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Medical Care Of New York, Pllc Po Box 304 Valley Stream NY 11582-0304 Ph: (516) 285-1270 | Ideal Medical Care Of New York, Pllc 2 Arkansas Dr Valley Stream NY 11580-1801 Ph: (516) 285-1270 |
| NPI Number | 1629304357 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 10/14/2018 |
| Medicare PECOS PAC ID | 3678713443 |
|---|---|
| Medicare Enrollment ID | O20130628000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629304357 | NPI | - | NPPES |
| 02149580 | Medicaid | NY | |
| 3830522 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 219511 (New York) | Primary |
| Provider Name | Zeeshan Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528005907 PECOS PAC ID: 3072559657 Enrollment ID: I20050706000012 |
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