| New Health Medical Pc | |
|
143 Wickham Rd Garden City NY 11530-1141 | |
| (347) 804-8217 | |
| (516) 750-5414 |
| Full Name | New Health Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 143 Wickham Rd, Garden City, New York |
| Authorized Official Name and Position | Nenad Grlic (PRESIDENT) |
| Authorized Official Contact | 3478048217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Health Medical Pc 143 Wickham Rd Garden City NY 11530-1141 Ph: (347) 804-8217 | New Health Medical Pc 143 Wickham Rd Garden City NY 11530-1141 Ph: (347) 804-8217 |
| NPI Number | 1427606649 |
|---|---|
| Provider Enumeration Date | 08/30/2019 |
| Last Update Date | 06/14/2022 |
| Medicare PECOS PAC ID | 3072844075 |
|---|---|
| Medicare Enrollment ID | O20191004002300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427606649 | NPI | - | NPPES |
| 06868551 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nenad Grlic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023048782 PECOS PAC ID: 2860496080 Enrollment ID: I20060831000071 |
| Provider Name | Catherine M Nozdrovicky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265580625 PECOS PAC ID: 6406858547 Enrollment ID: I20070202000274 |
| Provider Name | Shawna-lee Feanny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376795245 PECOS PAC ID: 0042677833 Enrollment ID: I20230609001805 |
| Provider Name | Bethania Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811649312 PECOS PAC ID: 8224471263 Enrollment ID: I20240207001335 |
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