| Woodside Medical Practice, P.c. | |
|
65 06 Roosevelt Avenue Woodside NY 11377-2928 | |
| (718) 374-6222 | |
| (718) 374-6213 |
| Full Name | Woodside Medical Practice, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 65 06 Roosevelt Avenue, Woodside, New York |
| Authorized Official Name and Position | Rafael N/a Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7185050030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodside Medical Practice, P.c. 65 06 Roosevelt Avenue Woodside NY 11377-2928 Ph: (718) 374-6222 | Woodside Medical Practice, P.c. 65 06 Roosevelt Avenue Woodside NY 11377-2928 Ph: (718) 374-6222 |
| NPI Number | 1114244712 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 04/23/2010 |
| Medicare PECOS PAC ID | 6406985449 |
|---|---|
| Medicare Enrollment ID | O20100601000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114244712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rafael Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144298175 PECOS PAC ID: 4284528696 Enrollment ID: I20040209000308 |
Woodside Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6019 Roosevelt Ave Ste 201, Woodside, NY 11377 Phone: 718-446-6579 Fax: 718-446-1213 | |
Paddu & Associates Medical Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 49-02 Queens Blvd, Woodside, NY 11377 Phone: 718-784-4502 Fax: 718-784-5180 | |
Fira Nihamin Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3965 52nd St, Woodside, NY 11377 Phone: 718-429-0039 Fax: 718-429-6965 | |
Woodside Medical Care P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6019 Roosevelt Ave. 201, Woodside, NY 11377 Phone: 718-446-6579 Fax: 718-446-1213 | |
Medical Professional Healthcare Woodside P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6527 Roosevelt Ave # 1a, Woodside, NY 11377 Phone: 718-550-2273 Fax: 718-550-2274 | |
Queens Wound & Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6535 Queens Blvd, Woodside, NY 11377 Phone: 718-426-4562 Fax: 718-426-4560 |