| Empire Medical Of Rockaway Beach Pc | |
|
8820 Rockaway Beach Blvd Rockaway Beach NY 11693-1608 | |
| (718) 634-8080 | |
| (718) 634-8087 |
| Full Name | Empire Medical Of Rockaway Beach Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8820 Rockaway Beach Blvd, Rockaway Beach, New York |
| Authorized Official Name and Position | Vaijinath M Chakote (DOCTOR) |
| Authorized Official Contact | 7186348080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empire Medical Of Rockaway Beach Pc 8820 Rockaway Beach Blvd Rockaway Beach NY 11693-1608 Ph: (718) 634-8080 | Empire Medical Of Rockaway Beach Pc 8820 Rockaway Beach Blvd Rockaway Beach NY 11693-1608 Ph: (718) 634-8080 |
| NPI Number | 1902089402 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 01/09/2014 |
| Medicare PECOS PAC ID | 0143272237 |
|---|---|
| Medicare Enrollment ID | O20050217000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902089402 | NPI | - | NPPES |
| Provider Name | Jonathan H Sumner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427030097 PECOS PAC ID: 7416944418 Enrollment ID: I20040430000156 |
| Provider Name | Mark Zombek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073583928 PECOS PAC ID: 5799742060 Enrollment ID: I20041217000786 |
| Provider Name | Jyoti Chakote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700970654 PECOS PAC ID: 9537112784 Enrollment ID: I20050228000581 |
| Provider Name | Sairamachandra R Kolla |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174503205 PECOS PAC ID: 3173525730 Enrollment ID: I20070209000638 |
| Provider Name | Vaijinath M Chakote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366464232 PECOS PAC ID: 7315994431 Enrollment ID: I20100512000975 |
| Provider Name | Norma Haughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366407694 PECOS PAC ID: 9032331970 Enrollment ID: I20141110001840 |
Empire Medical Of Rockaway Beach Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8820 Rockaway Beach Blvd, Rockaway Beach, NY 11693 Phone: 718-634-8080 Fax: 718-634-8087 | |
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