Centereach Medical Care Pc | |
18 Eastwood Blvd Centereach NY 11720 | |
(631) 461-3600 | |
(631) 467-3755 |
Full Name | Centereach Medical Care Pc |
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Speciality | Internal Medicine |
Location | 18 Eastwood Blvd, Centereach, New York |
Authorized Official Name and Position | Dennis U Carbonell (OWNER PRESIDENT) |
Authorized Official Contact | 6314673600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centereach Medical Care Pc 18 Eastwood Blvd Centereach NY 11720 Ph: (631) 461-3600 | Centereach Medical Care Pc 18 Eastwood Blvd Centereach NY 11720 Ph: (631) 461-3600 |
NPI Number | 1659554178 |
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Provider Enumeration Date | 12/06/2007 |
Last Update Date | 06/02/2009 |
Identifier | Type | State | Issuer |
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1659554178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | NY128949 (New York) | Primary |
Centereach Medical Office P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Eastwood Blvd, Centereach, NY 11720 Phone: 631-467-3600 Fax: 718-426-1100 | |
Middle Country Family Medicine P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2539 Middle Country Rd, Suite 5, Centereach, NY 11720 Phone: 631-580-1740 Fax: 631-580-1955 | |
Alan Lucks, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Mark Tree Rd, Centereach, NY 11720 Phone: 631-472-2777 |