| Rego Park Medical Associate,p.c | |
|
9851 Queens Blvd Suite 1d Rego Park NY 11374-4362 | |
| (718) 897-0327 | |
| (718) 897-0237 |
| Full Name | Rego Park Medical Associate,p.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 9851 Queens Blvd, Rego Park, New York |
| Authorized Official Name and Position | Gavriel Fuzaylov (PRESIDENT) |
| Authorized Official Contact | 7188970327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rego Park Medical Associate,p.c 10210 66th Rd Ste 1h Forest Hills NY 11375-2047 Ph: (718) 897-0327 | Rego Park Medical Associate,p.c 9851 Queens Blvd Suite 1d Rego Park NY 11374-4362 Ph: (718) 897-0327 |
| NPI Number | 1215268669 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 07/05/2023 |
| Medicare PECOS PAC ID | 5294878500 |
|---|---|
| Medicare Enrollment ID | O20100209000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215268669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 200199 (New York) | Primary |
| Provider Name | Gavriel Fuzaylov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154332310 PECOS PAC ID: 1951444264 Enrollment ID: I20100209000638 |
Athina Giovanis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85-02 67th Ave, Suite 1, Rego Park, NY 11374 Phone: 347-468-7340 | |
Lev Aminov, Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9851 64th Ave, Ste 1g, Rego Park, NY 11374 Phone: 718-275-6968 Fax: 718-275-4506 | |
Siranush K Cholakian Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 06 Fitchett Street, Rego Park, NY 11374 Phone: 718-275-1375 | |
North Shore Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9308 Queens Blvd # 1b1c, Rego Park, NY 11374 Phone: 718-806-1434 Fax: 718-806-1435 | |
Pro-health Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6511 Booth St, Suite 1 A, Rego Park, NY 11374 Phone: 718-309-1628 | |
Martin Torrents, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8502 67th Ave, Rego Park, NY 11374 Phone: 347-331-6533 | |
Nys Medical Associate Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65-11 Booth Street, Suite 1c, Rego Park, NY 11374 Phone: 718-806-1434 Fax: 718-806-1435 |