| Procare Medical Services Pc | |
|
13630 Maple Ave Suite 2l Flushing NY 11355-3868 | |
| (718) 888-9202 | |
| (718) 888-9204 |
| Full Name | Procare Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13630 Maple Ave, Flushing, New York |
| Authorized Official Name and Position | Wai-kuen Lam (PRESIDENT) |
| Authorized Official Contact | 7188889202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Procare Medical Services Pc 13630 Maple Ave Suite 2l Flushing NY 11355-3868 Ph: (718) 888-9202 | Procare Medical Services Pc 13630 Maple Ave Suite 2l Flushing NY 11355-3868 Ph: (718) 888-9202 |
| NPI Number | 1619053071 |
|---|---|
| Provider Enumeration Date | 10/28/2006 |
| Last Update Date | 02/29/2012 |
| Medicare PECOS PAC ID | 3274714829 |
|---|---|
| Medicare Enrollment ID | O20110302000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619053071 | NPI | - | NPPES |
| 03304074 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wai-kuen Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700969920 PECOS PAC ID: 0446431092 Enrollment ID: I20110302000284 |
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