| Complete Medical Family Care Pllc | |
|
735 Middle Country Road Saint James NY 11780-3211 | |
| (631) 656-9200 | |
| Not Available |
| Full Name | Complete Medical Family Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 735 Middle Country Road, Saint James, New York |
| Authorized Official Name and Position | George Jack Lehner (OWNER) |
| Authorized Official Contact | 6316569200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Medical Family Care Pllc 735 Middle Country Road Saint James NY 11780-3211 Ph: (631) 559-6869 | Complete Medical Family Care Pllc 735 Middle Country Road Saint James NY 11780-3211 Ph: (631) 656-9200 |
| NPI Number | 1578820783 |
|---|---|
| Provider Enumeration Date | 04/13/2012 |
| Last Update Date | 09/18/2012 |
| Medicare PECOS PAC ID | 8820244049 |
|---|---|
| Medicare Enrollment ID | O20120803000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578820783 | NPI | - | NPPES |
| 03057045 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 242516 (New York) | Primary |
| Provider Name | George J Lehner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639384928 PECOS PAC ID: 6204992134 Enrollment ID: I20090302000383 |
Durga Posina Physician Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 Lake Ave Ste 4, Saint James, NY 11780 Phone: 732-915-8628 |