| Medi Life Inc | |
|
25 Searingtown Rd Albertson NY 11507-1508 | |
| (718) 806-1434 | |
| Not Available |
| Full Name | Medi Life Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Searingtown Rd, Albertson, New York |
| Authorized Official Name and Position | Mahidul Chowduary (PRESIDENT) |
| Authorized Official Contact | 7188061434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi Life Inc 25 Searingtown Rd Albertson NY 11507-1508 Ph: () - | Medi Life Inc 25 Searingtown Rd Albertson NY 11507-1508 Ph: (718) 806-1434 |
| NPI Number | 1396435459 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 05/11/2023 |
| Medicare PECOS PAC ID | 5496115602 |
|---|---|
| Medicare Enrollment ID | O20230720000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396435459 | NPI | - | NPPES |
| 318667 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mahidul Chowduary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962063255 PECOS PAC ID: 1052797891 Enrollment ID: I20221003001754 |
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