| Soltani Medical Pc | |
|
11 Joyce Ct Woodbury NY 11797-2110 | |
| (917) 348-0063 | |
| Not Available |
| Full Name | Soltani Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Joyce Ct, Woodbury, New York |
| Authorized Official Name and Position | Peter Soltani (PHYSICIAN) |
| Authorized Official Contact | 9173480063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soltani Medical Pc 11 Joyce Ct Woodbury NY 11797-2110 Ph: () - | Soltani Medical Pc 11 Joyce Ct Woodbury NY 11797-2110 Ph: (917) 348-0063 |
| NPI Number | 1962894089 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 02/26/2015 |
| Medicare PECOS PAC ID | 3870812720 |
|---|---|
| Medicare Enrollment ID | O20150428000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962894089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 266941 (New York) | Primary |
| Provider Name | Peter S Soltani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356612717 PECOS PAC ID: 7113178039 Enrollment ID: I20121127000053 |
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