| Brentwood Medical Care, Pc | |
|
232 Daly Rd East Northport NY 11731-6325 | |
| (631) 499-0022 | |
| Not Available |
| Full Name | Brentwood Medical Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 232 Daly Rd, East Northport, New York |
| Authorized Official Name and Position | Matthew J Viso (MANAGER) |
| Authorized Official Contact | 6317515588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Medical Care, Pc 1890 New York Ave Huntington Station NY 11746-2904 Ph: (631) 427-6920 | Brentwood Medical Care, Pc 232 Daly Rd East Northport NY 11731-6325 Ph: (631) 499-0022 |
| NPI Number | 1699830745 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699830745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 103139 (New York) | Primary |
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Lisa A. Honkanen, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Daly Rd, East Northport, NY 11731 Phone: 631-499-1236 |