| Zwh Medical Care Pc | |
|
6417 Broadway Woodside NY 11377-2336 | |
| (718) 424-0309 | |
| (718) 424-0263 |
| Full Name | Zwh Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6417 Broadway, Woodside, New York |
| Authorized Official Name and Position | Zakia Hossain (OWNER) |
| Authorized Official Contact | 7189151585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zwh Medical Care Pc 6417 Broadway Woodside NY 11377-2336 Ph: (718) 424-0309 | Zwh Medical Care Pc 6417 Broadway Woodside NY 11377-2336 Ph: (718) 424-0309 |
| NPI Number | 1386934172 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 04/13/2011 |
| Medicare PECOS PAC ID | 9537345640 |
|---|---|
| Medicare Enrollment ID | O20110525000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386934172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 246532 (New York) | Primary |
| Provider Name | Zakia Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780694927 PECOS PAC ID: 7517143621 Enrollment ID: I20110525000124 |
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