Celestin Medical Care Pllc | |
1550 Deer Park Ave Ste 2 Deer Park NY 11729-6624 | |
(631) 940-1052 | |
(631) 940-1053 |
Full Name | Celestin Medical Care Pllc |
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Speciality | Family Medicine |
Location | 1550 Deer Park Ave Ste 2, Deer Park, New York |
Authorized Official Name and Position | Marie Florence Celestin (PHYSICIAN/OWNER) |
Authorized Official Contact | 6319401052 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Celestin Medical Care Pllc 1550 Deer Park Ave Ste 2 Deer Park NY 11729-6624 Ph: (631) 940-1052 | Celestin Medical Care Pllc 1550 Deer Park Ave Ste 2 Deer Park NY 11729-6624 Ph: (631) 940-1052 |
NPI Number | 1013521798 |
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Provider Enumeration Date | 09/01/2020 |
Last Update Date | 09/01/2020 |
Medicare PECOS PAC ID | 8628488418 |
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Medicare Enrollment ID | O20201105002901 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013521798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Marie Florence Celestin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316192552 PECOS PAC ID: 9739356528 Enrollment ID: I20120119000174 |
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