| Long Island Internal Medicine Pllc | |
|
3029 38th St Astoria NY 11103-3875 | |
| (917) 635-0613 | |
| (347) 527-2988 |
| Full Name | Long Island Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3029 38th St, Astoria, New York |
| Authorized Official Name and Position | Mukul Khurana (PRESIDENT) |
| Authorized Official Contact | 9176350613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Internal Medicine Pllc 3029 38th St Astoria NY 11103-3875 Ph: (917) 635-0613 | Long Island Internal Medicine Pllc 3029 38th St Astoria NY 11103-3875 Ph: (917) 635-0613 |
| NPI Number | 1376880013 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 09/17/2025 |
| Medicare PECOS PAC ID | 8921245614 |
|---|---|
| Medicare Enrollment ID | O20130517000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376880013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 264609 (New York) | Primary |
| Provider Name | Vidya Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043252885 PECOS PAC ID: 0840367793 Enrollment ID: I20080918000693 |
| Provider Name | Ajay Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558353763 PECOS PAC ID: 2062498371 Enrollment ID: I20101228000335 |
| Provider Name | Mukul Khurana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144208497 PECOS PAC ID: 1557275898 Enrollment ID: I20130520000352 |
| Provider Name | Romelynn Kirsten Tewarson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316307457 PECOS PAC ID: 2860781085 Enrollment ID: I20160511001734 |
| Provider Name | Anjali Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063758860 PECOS PAC ID: 1355573353 Enrollment ID: I20170925001093 |
| Provider Name | Jasvir Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750878450 PECOS PAC ID: 7315296308 Enrollment ID: I20180824000621 |
| Provider Name | Gevi Dominique O Brillantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326533696 PECOS PAC ID: 2769732163 Enrollment ID: I20180905003485 |
| Provider Name | Rashedul Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376169730 PECOS PAC ID: 1951729623 Enrollment ID: I20200911001271 |
| Provider Name | Mustafijur Rahman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831859479 PECOS PAC ID: 0648662007 Enrollment ID: I20220114000119 |
| Provider Name | Dianne Aguirre Espinosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093596785 PECOS PAC ID: 5890144182 Enrollment ID: I20231212002610 |
| Provider Name | Zeenat Tajmeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124705165 PECOS PAC ID: 8325490956 Enrollment ID: I20240119001252 |
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