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 |
Mes Medical Consultingpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 Elaine Dr, Oceanside, NY 11572 Phone: 516-286-0094 | |
William H. Simon, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2940 Lincoln Ave, Suite201, Oceanside, NY 11572 Phone: 516-766-6808 Fax: 516-766-5218 | |