| Queens Medical Pavilion,llc | |
|
6915 Austin St Forest Hills NY 11375-4255 | |
| (718) 263-3500 | |
| Not Available |
| Full Name | Queens Medical Pavilion,llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 6915 Austin St, Forest Hills, New York |
| Authorized Official Name and Position | Erica Vazquez (MANAGER) |
| Authorized Official Contact | 7182633500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Medical Pavilion,llc 69-15 Austin St Forest Hills NY 11375 Ph: (718) 263-3500 | Queens Medical Pavilion,llc 6915 Austin St Forest Hills NY 11375-4255 Ph: (718) 263-3500 |
| NPI Number | 1124384136 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 04/17/2013 |
| Medicare PECOS PAC ID | 0345484978 |
|---|---|
| Medicare Enrollment ID | O20130920000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124384136 | NPI | - | NPPES |
| Provider Name | Stephen A Wilson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518001197 PECOS PAC ID: 7810800224 Enrollment ID: I20031111000729 |
| Provider Name | Aric D Hausknecht |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508942046 PECOS PAC ID: 9739141896 Enrollment ID: I20041101000419 |
| Provider Name | Jeffrey Craig Kass |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831297902 PECOS PAC ID: 0648232744 Enrollment ID: I20041101000781 |
| Provider Name | Michael J Wiechowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346257151 PECOS PAC ID: 6305846940 Enrollment ID: I20070105000250 |
| Provider Name | John M Ventrudo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639376999 PECOS PAC ID: 4486726015 Enrollment ID: I20080626000362 |
| Provider Name | Jennifer Esmade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003973819 PECOS PAC ID: 6800113200 Enrollment ID: I20150324001148 |
| Provider Name | Robert John Parcon Ticzon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184970329 PECOS PAC ID: 1355668666 Enrollment ID: I20150326000280 |
| Provider Name | Norvin L Chavez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821453861 PECOS PAC ID: 2365747896 Enrollment ID: I20160222001987 |
Queens Family Medical Health And Wellness, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11120 Queens Blvd, Forest Hills, NY 11375 Phone: 718-261-7600 Fax: 718-261-7606 | |
Compassionate Community Physicians Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6861 Yellowstone Blvd Apt 116, Forest Hills, NY 11375 Phone: 347-689-8880 | |
Forrest Hills Medical Of New York Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10814 72nd Ave, Suite 4, Forest Hills, NY 11375 Phone: 914-346-5175 Fax: 914-346-5176 | |
Preferred Health Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6902 Austin St Fl 3, Forest Hills, NY 11375 Phone: 718-263-1450 Fax: 718-263-1454 | |
Fund America Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9822 Metropolitan Ave, Forest Hills, NY 11375 Phone: 718-268-2648 | |
Main Street Health Partners, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11835 Queens Blvd Ste 400, Forest Hills, NY 11375 Phone: 718-428-4100 | |
I & R Medical Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11241 Queens Blvd, Suite Llb, Forest Hills, NY 11375 Phone: 718-520-7723 Fax: 718-520-7733 |