Durga Posina Physician Pc | |
320 Lake Ave Ste 4 Saint James NY 11780-2255 | |
(732) 915-8628 | |
Not Available |
Full Name | Durga Posina Physician Pc |
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Speciality | Internal Medicine |
Location | 320 Lake Ave Ste 4, Saint James, New York |
Authorized Official Name and Position | Durga Sunitha Posina (CEO) |
Authorized Official Contact | 7329158628 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Durga Posina Physician Pc 320 Lake Ave Ste 4 Saint James NY 11780-2255 Ph: (732) 915-8628 | Durga Posina Physician Pc 320 Lake Ave Ste 4 Saint James NY 11780-2255 Ph: (732) 915-8628 |
NPI Number | 1851047294 |
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Provider Enumeration Date | 02/24/2022 |
Last Update Date | 02/24/2022 |
Medicare PECOS PAC ID | 5496126633 |
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Medicare Enrollment ID | O20230125002585 |
Identifier | Type | State | Issuer |
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1851047294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Durga Sunitha Posina |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437492931 PECOS PAC ID: 2860788288 Enrollment ID: I20161117001313 |
Complete Medical Family Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 735 Middle Country Road, Saint James, NY 11780 Phone: 631-656-9200 |