| Parsons Medical Care | |
|
6019 Roosevelt Ave. 201 Woodside NY 11377-3537 | |
| (718) 446-6579 | |
| (718) 446-1213 |
| Full Name | Parsons Medical Care |
|---|---|
| Speciality | Family Medicine |
| Location | 6019 Roosevelt Ave. 201, Woodside, New York |
| Authorized Official Name and Position | Daniel Do Young Park (DIRECTOR) |
| Authorized Official Contact | 7184466579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parsons Medical Care 6019 Roosevelt Ave. 201 Woodside NY 11377-3537 Ph: (718) 446-6579 | Parsons Medical Care 6019 Roosevelt Ave. 201 Woodside NY 11377-3537 Ph: (718) 446-6579 |
| NPI Number | 1124205570 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 12/27/2018 |
| Medicare PECOS PAC ID | 9537438536 |
|---|---|
| Medicare Enrollment ID | O20170707000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124205570 | NPI | - | NPPES |
| 02104149 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 209387 (New York) | Primary |
| Provider Name | Daniel D Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831239391 PECOS PAC ID: 3173781374 Enrollment ID: I20120220000413 |
Woodside Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6019 Roosevelt Ave Ste 201, Woodside, NY 11377 Phone: 718-446-6579 Fax: 718-446-1213 | |
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