| Kam Primary Care, P.C. | |
|
24812 Northern Blvd 2a Little Neck NY 11362-1206 | |
| (347) 328-3764 | |
| Not Available |
| Full Name | Kam Primary Care, P.C. |
|---|---|
| Speciality | Clinic/Center |
| Location | 24812 Northern Blvd, Little Neck, New York |
| Authorized Official Name and Position | Yi Sheng Kam (PRESIDENT) |
| Authorized Official Contact | 3473283764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kam Primary Care, P.C. 24812 Northern Blvd 2a Little Neck NY 11362-1206 | Kam Primary Care, P.C. 24812 Northern Blvd 2a Little Neck NY 11362-1206 Ph: (347) 328-3764 |
| NPI Number | 1730573205 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 03/23/2015 |
| Medicare PECOS PAC ID | 4789904822 |
|---|---|
| Medicare Enrollment ID | O20150513001909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730573205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 262586 (New York) | Primary |
| Provider Name | Yi Sheng Kam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093963134 PECOS PAC ID: 6103005640 Enrollment ID: I20110128000903 |
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