Preventive Medical Care Pc is a
Internal Medicine based in Deer Park, New York. Preventive Medical Care Pc is licensed to practice in New York (license number 130686) and their current practice location is
2043 Deer Park Ave, Deer Park, New York. It can be reached at their office (for appointments etc.) via phone at
(631) 242-8488.
NPI number for Preventive Medical Care Pc is 1710432018 and their current mailing address is 2043 Deer Park Ave, Deer Park, New York. Preventive Medical Care Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1710432018.
Healthcare Provider's Profile
Full Name | Preventive Medical Care Pc |
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Type | Facility |
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Speciality | Internal Medicine |
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Location | 2043 Deer Park Ave, Deer Park, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710432018
- Provider Enumeration Date: 08/17/2016
- Last Update Date: 08/17/2016
Medical Identifiers
Medical identifiers for Preventive Medical Care Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710432018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | A130686 (New York) | Secondary |
207Q00000X | Family Medicine | 130686 (New York) | Secondary |
207R00000X | Internal Medicine | 130686 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Preventive Medical Care Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Preventive Medical Care Pc 2043 Deer Park Ave, Deer Park, NY 11729-2110 Ph: (631) 242-8488 | Preventive Medical Care Pc 2043 Deer Park Ave, Deer Park, NY 11729-2110 Ph: (631) 242-8488 |
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