| Complete Wellcare Medical Pllc | |
|
15 Chaffee Avenue Albertson NY 11507-1807 | |
| (516) 477-0511 | |
| (516) 248-3895 |
| Full Name | Complete Wellcare Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15 Chaffee Avenue, Albertson, New York |
| Authorized Official Name and Position | Lalit P Patel (PRESIDENT) |
| Authorized Official Contact | 5164770511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Wellcare Medical Pllc 15 Chaffee Ave Albertson NY 11507-1807 Ph: (516) 477-0511 | Complete Wellcare Medical Pllc 15 Chaffee Avenue Albertson NY 11507-1807 Ph: (516) 477-0511 |
| NPI Number | 1639576655 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 11/20/2014 |
| Medicare PECOS PAC ID | 8224398300 |
|---|---|
| Medicare Enrollment ID | O20180209001983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639576655 | NPI | - | NPPES |
| Provider Name | Joseph Izzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760480586 PECOS PAC ID: 3274522644 Enrollment ID: I20040511000074 |
| Provider Name | Lalit P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770530065 PECOS PAC ID: 4082667357 Enrollment ID: I20050226000012 |
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