| Medical Healthcare Provider Services Pllc | |
|
1703 47th St Brooklyn NY 11204-1228 | |
| (914) 359-4420 | |
| (914) 355-3035 |
| Full Name | Medical Healthcare Provider Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1703 47th St, Brooklyn, New York |
| Authorized Official Name and Position | Nayan K Das (OWNER) |
| Authorized Official Contact | 9143594420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Healthcare Provider Services Pllc 5014 16th Ave Ste 13 Brooklyn NY 11204-1404 Ph: (914) 359-4420 | Medical Healthcare Provider Services Pllc 1703 47th St Brooklyn NY 11204-1228 Ph: (914) 359-4420 |
| NPI Number | 1467159863 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/15/2023 |
| Medicare PECOS PAC ID | 1658746714 |
|---|---|
| Medicare Enrollment ID | O20230404001150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467159863 | NPI | - | NPPES |
| Provider Name | Nayan Kumar Das |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841366762 PECOS PAC ID: 6305015090 Enrollment ID: I20110815000582 |
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