Community Family Health Np, P.c. | |
750 Veterans Memorial Highway Suite 205 Hauppauge NY 11788-2943 | |
(718) 801-6318 | |
(718) 798-0988 |
Full Name | Community Family Health Np, P.c. |
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Speciality | Clinic/Center |
Location | 750 Veterans Memorial Highway, Hauppauge, New York |
Authorized Official Name and Position | Mark Jesse Schwartz (OWNER) |
Authorized Official Contact | 7188016318 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Family Health Np, P.c. Po Box 30114 Staten Island NY 10303-0114 Ph: (718) 801-6318 | Community Family Health Np, P.c. 750 Veterans Memorial Highway Suite 205 Hauppauge NY 11788-2943 Ph: (718) 801-6318 |
NPI Number | 1134818842 |
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Provider Enumeration Date | 05/08/2023 |
Last Update Date | 12/26/2024 |
Medicare PECOS PAC ID | 3476903139 |
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Medicare Enrollment ID | O20231221002544 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134818842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Mark Jesse Schwartz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699471086 PECOS PAC ID: 5294185955 Enrollment ID: I20231221002770 |
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