MEDICARE: PRIMARY CARE ASSOCIATES, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1831265511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY CARE ASSOCIATES, LLP

Provider Business Mailing Address
First Line	:	3344 BELL BLVD
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-1738
Country	:	US
Telephone Number	:	718-229-3344
Fax Number	:	718-224-9527

Provider Business Practice Location Address
First Line	:	3344 BELL BLVD
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-1738
Country	:	US
Telephone Number	:	718-229-3344
Fax Number	:	718-224-9527

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ARISTOTELIS SAKELLARIDIS
Credential	:	MD
Telephone Number	:	718-229-3344

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	06/05/2015

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