| Sk Medical Care Pc | |
|
2 Shannon Dr Woodbury NY 11797-1227 | |
| (631) 332-0686 | |
| Not Available |
| Full Name | Sk Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Shannon Dr, Woodbury, New York |
| Authorized Official Name and Position | Syed A Kamal (PRESIDENT) |
| Authorized Official Contact | 6313320686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sk Medical Care Pc 2 Shannon Dr. Woodbury NY 11797-2110 Ph: (631) 332-0686 | Sk Medical Care Pc 2 Shannon Dr Woodbury NY 11797-1227 Ph: (631) 332-0686 |
| NPI Number | 1578915351 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 08/29/2024 |
| Medicare PECOS PAC ID | 6507153301 |
|---|---|
| Medicare Enrollment ID | O20160922000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578915351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 256574 (New York) | Primary |
| Provider Name | Syed A Kamal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013232396 PECOS PAC ID: 7113059106 Enrollment ID: I20100709000003 |
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