Bayshore Medical Care, P.c. | |
40 Bay Shore Ave Bay Shore NY 11706-7929 | |
(631) 969-8700 | |
(631) 969-8703 |
Full Name | Bayshore Medical Care, P.c. |
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Speciality | Family Medicine |
Location | 40 Bay Shore Ave, Bay Shore, New York |
Authorized Official Name and Position | Marc Cimmino (OWNER/ PHYSICIAN) |
Authorized Official Contact | 6319698700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bayshore Medical Care, P.c. 40 Bay Shore Ave Bay Shore NY 11706-7929 Ph: (631) 969-8700 | Bayshore Medical Care, P.c. 40 Bay Shore Ave Bay Shore NY 11706-7929 Ph: (631) 969-8700 |
NPI Number | 1457531972 |
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Provider Enumeration Date | 11/13/2007 |
Last Update Date | 06/16/2015 |
Medicare PECOS PAC ID | 0143414771 |
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Medicare Enrollment ID | O20101028000067 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457531972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 172519 (New York) | Primary |
Provider Name | Marc C Cimmino |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669578159 PECOS PAC ID: 9537241849 Enrollment ID: I20080125000242 |
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