| Tal Mednick Md Pc | |
|
350 Veterans Memorial Hwy Ste 2 Commack NY 11725-4316 | |
| (631) 309-5222 | |
| (631) 303-3380 |
| Full Name | Tal Mednick Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 350 Veterans Memorial Hwy Ste 2, Commack, New York |
| Authorized Official Name and Position | Tal Mednick (PRESIDENT) |
| Authorized Official Contact | 6313095222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tal Mednick Md Pc 350 Veterans Memorial Hwy Ste 2 Commack NY 11725-4316 Ph: (631) 309-5222 | Tal Mednick Md Pc 350 Veterans Memorial Hwy Ste 2 Commack NY 11725-4316 Ph: (631) 309-5222 |
| NPI Number | 1306571740 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Medicare PECOS PAC ID | 4587048863 |
|---|---|
| Medicare Enrollment ID | O20220906001636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306571740 | NPI | - | NPPES |
| 270642 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Tal Mednick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700105590 PECOS PAC ID: 8426279803 Enrollment ID: I20141028002933 |
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