| Cutchogue Internal Medicine, Pllc | |
|
32645 Main Rd Cutchogue NY 11935-1364 | |
| (631) 734-7670 | |
| (631) 734-7670 |
| Full Name | Cutchogue Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 32645 Main Rd, Cutchogue, New York |
| Authorized Official Name and Position | John Impellizeri (MANGING MEMBER) |
| Authorized Official Contact | 6317347670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cutchogue Internal Medicine, Pllc Po Box 1159 Cutchogue NY 11935-0874 Ph: (631) 734-7670 | Cutchogue Internal Medicine, Pllc 32645 Main Rd Cutchogue NY 11935-1364 Ph: (631) 734-7670 |
| NPI Number | 1003800715 |
|---|---|
| Provider Enumeration Date | 09/08/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003800715 | NPI | - | NPPES |
| 02444824 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 224524 (New York) | Primary |
Cutchogue Walk-in Medical Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32645 Main Rd, Cutchogue, NY 11935 Phone: 631-734-5505 |