| Sss Family Medicine Pc | |
|
11513a Merrick Blvd Jamaica NY 11434-1851 | |
| (718) 558-8998 | |
| (718) 558-8999 |
| Full Name | Sss Family Medicine Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11513a Merrick Blvd, Jamaica, New York |
| Authorized Official Name and Position | Sophia Streete-smalls (PRESIDENT) |
| Authorized Official Contact | 9176936687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sss Family Medicine Pc 11513a Merrick Blvd Jamaica NY 11434-1851 Ph: (718) 558-8998 | Sss Family Medicine Pc 11513a Merrick Blvd Jamaica NY 11434-1851 Ph: (718) 558-8998 |
| NPI Number | 1588987234 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 03/10/2010 |
| Medicare PECOS PAC ID | 3476684796 |
|---|---|
| Medicare Enrollment ID | O20100701000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588987234 | NPI | - | NPPES |
| 02180096 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 218731 (New York) | Primary |
| Provider Name | Sophia Streete-smalls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033298906 PECOS PAC ID: 5496779720 Enrollment ID: I20100701000198 |
Empire Gate Medical P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8810 Parsons Blvd, Jamaica, NY 11432 Phone: 718-291-8111 Fax: 718-487-9343 | |
Care For The Homeless Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9023 161st St, Jamaica, NY 11432 Phone: 718-709-5054 Fax: 212-366-1773 | |
Community Healthcare Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9704 Sutphin Blvd, Jamaica, NY 11435 Phone: 718-657-7088 Fax: 718-657-7092 | |
Exedus Family Healthcare & Wellness Care Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11410 Merrick Blvd, Jamaica, NY 11434 Phone: 718-233-2972 Fax: 667-771-0892 | |
South Merrick Np In Adult Health P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10825 Merrick Blvd, Jamaica, NY 11433 Phone: 718-658-9700 | |
Physician Medical Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8216 164th Pl, 1st Floor, Jamaica, NY 11432 Phone: 646-644-8067 | |
Lisa Kirkland Od Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12221a Guy R Brewer Blvd, Jamaica, NY 11434 Phone: 718-527-0550 Fax: 718-527-0546 |