| Michael Tsadyk Medical Pc | |
|
10721 Queens Blvd Ste 6 Forest Hills NY 11375-4451 | |
| (929) 450-7007 | |
| (929) 506-7006 |
| Full Name | Michael Tsadyk Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 10721 Queens Blvd Ste 6, Forest Hills, New York |
| Authorized Official Name and Position | Michael Tsadyk (PHYSICIAN) |
| Authorized Official Contact | 9294507007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Tsadyk Medical Pc 10721 Queens Blvd Ste 6 Forest Hills NY 11375-4451 Ph: (929) 450-7007 | Michael Tsadyk Medical Pc 10721 Queens Blvd Ste 6 Forest Hills NY 11375-4451 Ph: (929) 450-7007 |
| NPI Number | 1548089246 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Medicare PECOS PAC ID | 1951822808 |
|---|---|
| Medicare Enrollment ID | O20250307000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548089246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Tsadyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194212902 PECOS PAC ID: 6709274277 Enrollment ID: I20211103000018 |
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