| Prime Md Center Llc | |
|
1000 Railroad Ave Woodmere NY 11598-1645 | |
| (845) 738-8770 | |
| Not Available |
| Full Name | Prime Md Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Railroad Ave, Woodmere, New York |
| Authorized Official Name and Position | Benjamin Nadler (OWNER) |
| Authorized Official Contact | 9177316672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Md Center Llc 1675 59th St Brooklyn NY 11204-2130 Ph: () - | Prime Md Center Llc 1000 Railroad Ave Woodmere NY 11598-1645 Ph: (845) 738-8770 |
| NPI Number | 1851104749 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 01/27/2025 |
| Medicare PECOS PAC ID | 4981134863 |
|---|---|
| Medicare Enrollment ID | O20250206002914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851104749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Shalom Jaroslawicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407445257 PECOS PAC ID: 9133521073 Enrollment ID: I20210714002054 |
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