| Claudia J Selgrad Do Pc | |
|
1555 Sunrise Hwy Suite #6 Bay Shore NY 11706-6027 | |
| (631) 968-0588 | |
| (631) 968-2848 |
| Full Name | Claudia J Selgrad Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1555 Sunrise Hwy, Bay Shore, New York |
| Authorized Official Name and Position | Claudia J. Selgrad (D.O./OWNER) |
| Authorized Official Contact | 6319680588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claudia J Selgrad Do Pc 1555 Sunrise Hwy Suite #6 Bay Shore NY 11706-6027 Ph: (631) 968-0588 | Claudia J Selgrad Do Pc 1555 Sunrise Hwy Suite #6 Bay Shore NY 11706-6027 Ph: (631) 968-0588 |
| NPI Number | 1487912374 |
|---|---|
| Provider Enumeration Date | 04/27/2012 |
| Last Update Date | 06/25/2012 |
| Medicare PECOS PAC ID | 5799949822 |
|---|---|
| Medicare Enrollment ID | O20120621000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487912374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200616 (New York) | Primary |
| Provider Name | Claudia J Selgrad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396717799 PECOS PAC ID: 4688748643 Enrollment ID: I20100922000532 |
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