| J Ford Medical Pc | |
|
5444 Little Neck Pkwy Little Neck NY 11362-2201 | |
| (347) 395-6424 | |
| Not Available |
| Full Name | J Ford Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5444 Little Neck Pkwy, Little Neck, New York |
| Authorized Official Name and Position | Jason Ford (PRESIDENT) |
| Authorized Official Contact | 3475540292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Ford Medical Pc 20 Hooper Ct East Northport NY 11731-4914 Ph: (516) 848-0331 | J Ford Medical Pc 5444 Little Neck Pkwy Little Neck NY 11362-2201 Ph: (347) 395-6424 |
| NPI Number | 1134832553 |
|---|---|
| Provider Enumeration Date | 12/30/2022 |
| Last Update Date | 12/30/2022 |
| Medicare PECOS PAC ID | 7810369394 |
|---|---|
| Medicare Enrollment ID | O20230209001110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134832553 | NPI | - | NPPES |
| 05996929 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jason Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871026708 PECOS PAC ID: 6608110150 Enrollment ID: I20200414000463 |
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