| Pcr Physician Pllc | |
|
117 Greenway W New Hyde Park NY 11040-2226 | |
| (909) 757-8314 | |
| Not Available |
| Full Name | Pcr Physician Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 117 Greenway W, New Hyde Park, New York |
| Authorized Official Name and Position | Kareem Abed (OWNER) |
| Authorized Official Contact | 6092221198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pcr Physician Pllc 117 Greenway W New Hyde Park NY 11040-2226 Ph: (909) 757-8314 | Pcr Physician Pllc 117 Greenway W New Hyde Park NY 11040-2226 Ph: (909) 757-8314 |
| NPI Number | 1184243040 |
|---|---|
| Provider Enumeration Date | 04/10/2020 |
| Last Update Date | 04/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184243040 | NPI | - | NPPES |
| 04607627 | Medicaid | NY | |
| 0669423 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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