| Roman Koldayev Medical P C | |
|
310 Woods Ave Oceanside NY 11572-2146 | |
| (718) 909-7665 | |
| Not Available |
| Full Name | Roman Koldayev Medical P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 310 Woods Ave, Oceanside, New York |
| Authorized Official Name and Position | Roman Koldayev (PRESIDENT) |
| Authorized Official Contact | 7189097665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roman Koldayev Medical P C 310 Woods Ave Oceanside NY 11572-2146 Ph: (718) 909-7665 | Roman Koldayev Medical P C 310 Woods Ave Oceanside NY 11572-2146 Ph: (718) 909-7665 |
| NPI Number | 1649604810 |
|---|---|
| Provider Enumeration Date | 08/24/2013 |
| Last Update Date | 08/24/2013 |
| Medicare PECOS PAC ID | 1759602196 |
|---|---|
| Medicare Enrollment ID | O20150610001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649604810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 206990 (New York) | Primary |
| Provider Name | Roman Koldayev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790766970 PECOS PAC ID: 2264411719 Enrollment ID: I20040717000168 |
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