Su Salud Medical Pc | |
3508 Junction Blvd Corona NY 11368-1743 | |
(917) 745-0001 | |
(646) 680-0078 |
Full Name | Su Salud Medical Pc |
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Speciality | Internal Medicine |
Location | 3508 Junction Blvd, Corona, New York |
Authorized Official Name and Position | Ferdous Khandker (MD) |
Authorized Official Contact | 7188443360 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Su Salud Medical Pc 2 Willow Rd New Hyde Park NY 11040-3326 Ph: (718) 844-3360 | Su Salud Medical Pc 3508 Junction Blvd Corona NY 11368-1743 Ph: (917) 745-0001 |
NPI Number | 1043844905 |
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Provider Enumeration Date | 02/28/2020 |
Last Update Date | 02/28/2020 |
Medicare PECOS PAC ID | 2365873775 |
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Medicare Enrollment ID | O20200518002943 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043844905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ferdous Khandker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205896800 PECOS PAC ID: 1355386202 Enrollment ID: I20050622000463 |
Provider Name | Arif R Masih |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417468885 PECOS PAC ID: 0547697658 Enrollment ID: I20200303000848 |
Provider Name | Lokendra Mati Rai |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215546924 PECOS PAC ID: 8224458609 Enrollment ID: I20201023002231 |
Provider Name | Nicole Annmarie Sadler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588191217 PECOS PAC ID: 9739590456 Enrollment ID: I20201201000921 |
Provider Name | Anita N Sawyer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518425420 PECOS PAC ID: 2860804051 Enrollment ID: I20201211001396 |
Provider Name | Amanda Satheeskumar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588260582 PECOS PAC ID: 5698188050 Enrollment ID: I20210105000468 |
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