| Beach Primary Medicine Pc | |
|
340 W Park Ave Long Beach NY 11561-3213 | |
| (516) 431-5064 | |
| (516) 432-4516 |
| Full Name | Beach Primary Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 340 W Park Ave, Long Beach, New York |
| Authorized Official Name and Position | Richard Goodman (PRESIDENT) |
| Authorized Official Contact | 5164315064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Primary Medicine Pc 340 W Park Ave Long Beach NY 11561-3213 Ph: (516) 431-5064 | Beach Primary Medicine Pc 340 W Park Ave Long Beach NY 11561-3213 Ph: (516) 431-5064 |
| NPI Number | 1558466508 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558466508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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