| Inwood Family Practice And Osteopathic Medicine P.c. | |
| 
					101 Doughty Blvd Inwood NY 11096-2003  | |
| (516) 239-2924 | |
| (516) 239-1609 | 
| Full Name | Inwood Family Practice And Osteopathic Medicine P.c. | 
|---|---|
| Speciality | Family Medicine | 
| Location | 101 Doughty Blvd, Inwood, New York | 
| Authorized Official Name and Position | Anatole Hounnou (OWNER) | 
| Authorized Official Contact | 3478362699 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Inwood Family Practice And Osteopathic Medicine P.c. 101 Doughty Blvd Inwood NY 11096-2003 Ph: (347) 836-2699  | Inwood Family Practice And Osteopathic Medicine P.c. 101 Doughty Blvd Inwood NY 11096-2003 Ph: (516) 239-2924  | 
| NPI Number | 1720424625 | 
|---|---|
| Provider Enumeration Date | 05/17/2013 | 
| Last Update Date | 05/23/2022 | 
| Medicare PECOS PAC ID | 1052540481 | 
|---|---|
| Medicare Enrollment ID | O20140206000561 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720424625 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 258868 (New York) | Primary | 
| Provider Name | Anatole Hounnou | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1922399930 PECOS PAC ID: 6709041775 Enrollment ID: I20120626000492  | 
South Shore Family Medical Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 271 Doughty Blvd, Inwood, NY 11096 Phone: 516-371-6884 Fax: 516-371-6083  | |
Inwood Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Lawrence Ave., Inwood, NY 11096 Phone: 516-571-7874  |