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PANCARE MEDICAL PC NPI 1457548745


NPI Information

NPI: 1457548745
Provider Name: PANCARE MEDICAL PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D2008179

Address:
15915 HILLSIDE AVE
JAMAICA, NY
ZIP 11432
Phone: (718) 473-2005
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PANCARE MEDICAL PC is a family medicine in Jamaica, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PANCARE MEDICAL PC NPI is 1457548745. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15915 HILLSIDE AVE
JAMAICA, NY
ZIP 11432-935
Phone: (718) 473-2005
Fax: (718) 523-2311

The provider's authorized official is Silas E Nwaishienyi .
The authorized official title is Director and has the following contact phone number (516) 610-8704.

The CLIA number assigned to this NPI record is 33D2008179 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 2/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine243375NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1243375OTHERNEW YORKLICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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