| M&g Medical Pc | |
|
1039 Richmond Rd Staten Island NY 10304-2401 | |
| (718) 447-3200 | |
| Not Available |
| Full Name | M&g Medical Pc |
|---|---|
| Speciality | General Practice |
| Location | 1039 Richmond Rd, Staten Island, New York |
| Authorized Official Name and Position | Marina Goikhberg (M.D.) |
| Authorized Official Contact | 7184473200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M&g Medical Pc 1039 Richmond Rd Staten Island NY 10304-2401 Ph: () - | M&g Medical Pc 1039 Richmond Rd Staten Island NY 10304-2401 Ph: (718) 447-3200 |
| NPI Number | 1689978231 |
|---|---|
| Provider Enumeration Date | 12/22/2010 |
| Last Update Date | 12/22/2010 |
| Medicare PECOS PAC ID | 7113102708 |
|---|---|
| Medicare Enrollment ID | O20110426000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689978231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 237087 (New York) | Primary |
| Provider Name | Marina Goikhberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013071620 PECOS PAC ID: 9234156670 Enrollment ID: I20051026000029 |
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