| New Star Medical P.C. | |
|
580 Bay Ridge Ave Brooklyn NY 11220-6006 | |
| (917) 968-9406 | |
| Not Available |
| Full Name | New Star Medical P.C. |
|---|---|
| Speciality | Clinic/Center |
| Location | 580 Bay Ridge Ave, Brooklyn, New York |
| Authorized Official Name and Position | Rui ER Teng (PRESIDENT) |
| Authorized Official Contact | 9179689406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Star Medical P.C. 580 Bay Ridge Ave Brooklyn NY 11220-6006 Ph: (917) 968-9406 | New Star Medical P.C. 580 Bay Ridge Ave Brooklyn NY 11220-6006 Ph: (917) 968-9406 |
| NPI Number | 1851580492 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/19/2007 |
| Medicare PECOS PAC ID | 6103914007 |
|---|---|
| Medicare Enrollment ID | O20071109000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851580492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 244900 (New York) | Primary |
| Provider Name | Rui E Teng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104028067 PECOS PAC ID: 5991892259 Enrollment ID: I20071102000239 |
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