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Organization
PANCARE MEDICAL PC
Active
Organization
PANCARE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SILAS E NWAISHIENYI M.D (DIRECTOR)
(516) 610-8704
Entity
Organization
Contact information
Practice address
15915 HILLSIDE AVE, JAMAICA, NY 11432-3935
(718) 473-2005
(718) 523-2311
Mailing address
15915 HILLSIDE AVE, JAMAICA, NY 11432-3935
(718) 473-2005
(718) 523-2311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
243375
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243375
LICENSE
NY
Enumeration date
10/01/2007
Last updated
02/10/2014
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