| Medical Services Of New Hyde Park Pc | |
|
1010 Route 112 Ste 300 Port Jefferson Station NY 11776-3386 | |
| (631) 886-4805 | |
| Not Available |
| Full Name | Medical Services Of New Hyde Park Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1010 Route 112 Ste 300, Port Jefferson Station, New York |
| Authorized Official Name and Position | Coleen Hansen (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 5169924563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Services Of New Hyde Park Pc 275 Sunrise Hwy Merrick NY 11566-3729 Ph: (516) 992-4563 | Medical Services Of New Hyde Park Pc 1010 Route 112 Ste 300 Port Jefferson Station NY 11776-3386 Ph: (631) 886-4805 |
| NPI Number | 1598418568 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598418568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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