| Ny Medical Health For U Pc | |
|
6535 Fitchett St Rego Park NY 11374-5037 | |
| (516) 376-0450 | |
| Not Available |
| Full Name | Ny Medical Health For U Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6535 Fitchett St, Rego Park, New York |
| Authorized Official Name and Position | Neriy Yakubov (MD) |
| Authorized Official Contact | 5163760450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ny Medical Health For U Pc 6535 Fitchett St Rego Park NY 11374-5037 Ph: (516) 376-0450 | Ny Medical Health For U Pc 6535 Fitchett St Rego Park NY 11374-5037 Ph: (516) 376-0450 |
| NPI Number | 1215595947 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 12/09/2019 |
| Medicare PECOS PAC ID | 8224463013 |
|---|---|
| Medicare Enrollment ID | O20200124002160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215595947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Neriy Yakubov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598086597 PECOS PAC ID: 2062647324 Enrollment ID: I20131023000721 |
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