Carefirst Family Medical Pc | |
353 Veterans Memorial Hwy Commack NY 11725-4200 | |
(631) 864-8535 | |
(631) 864-8504 |
Full Name | Carefirst Family Medical Pc |
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Speciality | Clinic/Center |
Location | 353 Veterans Memorial Hwy, Commack, New York |
Authorized Official Name and Position | Fangqin Li (DIRECTOR) |
Authorized Official Contact | 6317516389 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carefirst Family Medical Pc 163 Sycamore Cir Stony Brook NY 11790-3171 Ph: (631) 751-6389 | Carefirst Family Medical Pc 353 Veterans Memorial Hwy Commack NY 11725-4200 Ph: (631) 864-8535 |
NPI Number | 1174719496 |
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Provider Enumeration Date | 09/20/2007 |
Last Update Date | 09/20/2007 |
Medicare PECOS PAC ID | 9133214398 |
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Medicare Enrollment ID | O20071003000019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174719496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 240642 (New York) | Primary |
Provider Name | Fangqin F Li |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427198076 PECOS PAC ID: 3779676150 Enrollment ID: I20070830000122 |
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