Advanced Internal Medicine Group Pc | |
2200 Northern Blvd Suite 133 Greenvale NY 11548-1219 | |
(516) 352-8100 | |
(516) 352-7348 |
Full Name | Advanced Internal Medicine Group Pc |
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Speciality | Internal Medicine |
Location | 2200 Northern Blvd, Greenvale, New York |
Authorized Official Name and Position | Shuli Schwechter (PRACTICE OPERATIONS MANAGER) |
Authorized Official Contact | 5163528100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Internal Medicine Group Pc 2200 Northern Blvd Suite 133 Greenvale NY 11548-1219 Ph: (516) 352-8100 | Advanced Internal Medicine Group Pc 2200 Northern Blvd Suite 133 Greenvale NY 11548-1219 Ph: (516) 352-8100 |
NPI Number | 1669548087 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 08/31/2020 |
Medicare PECOS PAC ID | 5496647208 |
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Medicare Enrollment ID | O20040326000709 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669548087 | NPI | - | NPPES |
1639119621 | Other | NY | CRAIG GROBMAN NPI # |
1508806712 | Other | NY | JAVIER MORALES NPI # |
1922323310 | Other | NY | MASOOMA SHEIKH NPI # |
W87631 | Other | NY | GROUP MEDICARE PROVIDER # |
1225078314 | Other | NY | LEON SCHWECHER NPI # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 138681 (New York) | Primary |
Provider Name | Neena Shah |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1275626210 PECOS PAC ID: 4587557178 Enrollment ID: I20040206000294 |
Provider Name | Craig Ryan Grobman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639119621 PECOS PAC ID: 0648204842 Enrollment ID: I20050926001144 |
Provider Name | Leon E Schwechter |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225078314 PECOS PAC ID: 9830124353 Enrollment ID: I20060222000074 |
Provider Name | Javier Morales |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508806712 PECOS PAC ID: 4082730114 Enrollment ID: I20100927000960 |
Provider Name | Keva Galdamez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891110912 PECOS PAC ID: 1557580339 Enrollment ID: I20140909001695 |
Provider Name | Erin K Morrissey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225416969 PECOS PAC ID: 4789990771 Enrollment ID: I20150908000420 |
Provider Name | Ania Friedrich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720167836 PECOS PAC ID: 2062756729 Enrollment ID: I20181206001313 |
Provider Name | Alicia Shakira Hamid |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831846948 PECOS PAC ID: 3072979137 Enrollment ID: I20230515002420 |
North Shore Infectious Diseases Consultants, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Northern Blvd Ste 205, Greenvale, NY 11548 Phone: 516-767-7771 Fax: 516-767-7765 | |
Li Gastroenterology Endoscopy Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2200 Northern Blvd Ste 212, Greenvale, NY 11548 Phone: 516-636-5010 Fax: 516-636-5011 |