| New York Diabetes And Endocrinology Pllc | |
|
20801 Hillside Ave Queens Village NY 11427-1711 | |
| (917) 502-0617 | |
| Not Available |
| Full Name | New York Diabetes And Endocrinology Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20801 Hillside Ave, Queens Village, New York |
| Authorized Official Name and Position | Sajid Khan (MD) |
| Authorized Official Contact | 9175020617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Diabetes And Endocrinology Pllc Po Box 3609 New Hyde Park NY 11040-8609 Ph: (917) 502-0617 | New York Diabetes And Endocrinology Pllc 20801 Hillside Ave Queens Village NY 11427-1711 Ph: (917) 502-0617 |
| NPI Number | 1679003222 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 06/15/2017 |
| Medicare PECOS PAC ID | 3678847936 |
|---|---|
| Medicare Enrollment ID | O20170926000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679003222 | NPI | - | NPPES |
| 03510703 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 253659 (New York) | Primary |
| Provider Name | Andrew H. Maran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356379713 PECOS PAC ID: 2668451113 Enrollment ID: I20040717000223 |
| Provider Name | Isaac Sachmechi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750340121 PECOS PAC ID: 4880776517 Enrollment ID: I20080201000563 |
| Provider Name | Eva Babekov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194960112 PECOS PAC ID: 6204993967 Enrollment ID: I20090324000557 |
| Provider Name | Sajid Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295975704 PECOS PAC ID: 3476725128 Enrollment ID: I20111003000018 |
| Provider Name | Christian Jo N Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982183679 PECOS PAC ID: 4880935824 Enrollment ID: I20190401001611 |
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