| Jamaica Family Practice & Osteopathic Medicine Pc | |
|
9050 Parsons Blvd Suite 211 Jamaica NY 11432-6052 | |
| (718) 526-9491 | |
| (718) 725-0009 |
| Full Name | Jamaica Family Practice & Osteopathic Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 9050 Parsons Blvd, Jamaica, New York |
| Authorized Official Name and Position | Marjorie Renaud Dugue (OWNER) |
| Authorized Official Contact | 7185269491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamaica Family Practice & Osteopathic Medicine Pc 9050 Parsons Blvd Suite 211 Jamaica NY 11432-6052 Ph: (718) 526-9491 | Jamaica Family Practice & Osteopathic Medicine Pc 9050 Parsons Blvd Suite 211 Jamaica NY 11432-6052 Ph: (718) 526-9491 |
| NPI Number | 1982840922 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 10/11/2018 |
| Medicare PECOS PAC ID | 4183675077 |
|---|---|
| Medicare Enrollment ID | O20050208000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982840922 | NPI | - | NPPES |
| 02619556 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 234196 (New York) | Primary |
| Provider Name | Marjorie R Dugue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881609659 PECOS PAC ID: 5991756884 Enrollment ID: I20050209000195 |
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