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2201 Hempstead Tpke Bldg K East Meadow NY 11554-1859 | |
| (516) 572-5906 | |
| (516) 572-6777 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 2201 Hempstead Tpke Bldg K, East Meadow, New York |
| Authorized Official Name and Position | Anna Halatyn (STATISTICIAN/FISCAL BILLING) |
| Authorized Official Contact | 5165723298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2201 Hempstead Tpke Bldg K East Meadow NY 11554-1859 Ph: (516) 572-3298 | 2201 Hempstead Tpke Bldg K East Meadow NY 11554-1859 Ph: (516) 572-5906 |
| NPI Number | 1033276662 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 02/03/2020 |
| Certification Date | 02/03/2020 |
| Medicare PECOS PAC ID | 6901875319 |
|---|---|
| Medicare Enrollment ID | O20200625001206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033276662 | NPI | - | NPPES |
| 00689730 | Medicaid | NY |
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