Willow Park Medical Health Pc | |
4 Farmwoods Ln Glen Head NY 11545-2730 | |
(516) 507-7593 | |
Not Available |
Full Name | Willow Park Medical Health Pc |
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Speciality | Clinic/Center |
Location | 4 Farmwoods Ln, Glen Head, New York |
Authorized Official Name and Position | Azmat Iqbal (PHYSICIAN) |
Authorized Official Contact | 5165077593 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Willow Park Medical Health Pc 4 Farmwoods Ln Glen Head NY 11545-2730 Ph: (516) 507-7593 | Willow Park Medical Health Pc 4 Farmwoods Ln Glen Head NY 11545-2730 Ph: (516) 507-7593 |
NPI Number | 1063219475 |
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Provider Enumeration Date | 02/25/2025 |
Last Update Date | 02/25/2025 |
Medicare PECOS PAC ID | 3577085901 |
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Medicare Enrollment ID | O20250314002070 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063219475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Azmat Iqbal |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1669490314 PECOS PAC ID: 1355345356 Enrollment ID: I20060906000187 |
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