| Diabetes & Endocrine Pllc | |
|
61 Tyler Dr Riverhead NY 11901-5022 | |
| (631) 939-2127 | |
| (332) 330-9601 |
| Full Name | Diabetes & Endocrine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 61 Tyler Dr, Riverhead, New York |
| Authorized Official Name and Position | Charmian Cohen (PRESIDENT) |
| Authorized Official Contact | 6319392127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Endocrine Pllc 61 Tyler Dr Riverhead NY 11901-5022 Ph: (631) 939-2127 | Diabetes & Endocrine Pllc 61 Tyler Dr Riverhead NY 11901-5022 Ph: (631) 939-2127 |
| NPI Number | 1902560964 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 11/08/2021 |
| Medicare PECOS PAC ID | 1759770027 |
|---|---|
| Medicare Enrollment ID | O20211109000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902560964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Charmian D Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003929043 PECOS PAC ID: 6305836610 Enrollment ID: I20040517001261 |
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