| Family Medical Care Of Bayshore, Pc | |
|
1745 Union Blvd Bay Shore NY 11706-7952 | |
| (631) 328-5560 | |
| (516) 328-5599 |
| Full Name | Family Medical Care Of Bayshore, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1745 Union Blvd, Bay Shore, New York |
| Authorized Official Name and Position | Carla Canavire-weber (OWNER) |
| Authorized Official Contact | 6313285560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care Of Bayshore, Pc 1745 Union Blvd Bay Shore NY 11706-7952 Ph: (631) 328-5560 | Family Medical Care Of Bayshore, Pc 1745 Union Blvd Bay Shore NY 11706-7952 Ph: (631) 328-5560 |
| NPI Number | 1487807061 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Medicare PECOS PAC ID | 8921143751 |
|---|---|
| Medicare Enrollment ID | O20100304000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487807061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 210883 (New York) | Primary |
| Provider Name | Joseph Racanelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639194921 PECOS PAC ID: 8426941675 Enrollment ID: I20040205000171 |
| Provider Name | Carla C Canavire-weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578632899 PECOS PAC ID: 1153212253 Enrollment ID: I20040319001561 |
| Provider Name | John T Rigney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255449229 PECOS PAC ID: 6103814272 Enrollment ID: I20040505001559 |
| Provider Name | Adel Ramsey Abadir |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1760407068 PECOS PAC ID: 4880670546 Enrollment ID: I20040624001697 |
| Provider Name | Michele Marie Greco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871561076 PECOS PAC ID: 3173503489 Enrollment ID: I20040726000434 |
| Provider Name | Tejas Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750347126 PECOS PAC ID: 1355374703 Enrollment ID: I20050915000584 |
| Provider Name | Aasha S Gopal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306809579 PECOS PAC ID: 8527160936 Enrollment ID: I20070302000190 |
| Provider Name | Boris Novik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164552014 PECOS PAC ID: 5991805640 Enrollment ID: I20070712000247 |
| Provider Name | Lawrence Cicchiello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740451152 PECOS PAC ID: 6800929969 Enrollment ID: I20110614000741 |
| Provider Name | Christine A Arkali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962717512 PECOS PAC ID: 9537311345 Enrollment ID: I20121130000126 |
| Provider Name | Nathaniel Margolis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073747259 PECOS PAC ID: 4183943889 Enrollment ID: I20150430001808 |
| Provider Name | Vivek V Patil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144456484 PECOS PAC ID: 1456670629 Enrollment ID: I20160722000332 |
| Provider Name | Pallavi Cherukuri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083905897 PECOS PAC ID: 7719263342 Enrollment ID: I20170417000676 |
| Provider Name | Jawad M Nesheiwat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740622455 PECOS PAC ID: 2264789833 Enrollment ID: I20190520001574 |
| Provider Name | Joanira Peixoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790299584 PECOS PAC ID: 9133453830 Enrollment ID: I20190701000714 |
| Provider Name | Eileen Melendez-rivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194397141 PECOS PAC ID: 2466834544 Enrollment ID: I20220805002070 |
| Provider Name | Fabiola Alouidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427627595 PECOS PAC ID: 6002285467 Enrollment ID: I20230223002114 |
| Provider Name | Joanna Renee Hewett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164153441 PECOS PAC ID: 9739553744 Enrollment ID: I20230314002234 |
Ocean Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 E Main St, Bay Shore, NY 11706 Phone: 631-665-5634 Fax: 631-665-5639 | |
Bay Shore Family Medicine Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 East Main St, Suite 8, Bay Shore, NY 11706 Phone: 631-665-0760 Fax: 631-665-1886 | |
Western Suffolk Gastroenterology Assoc Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 E Main St, Ste 21, Bay Shore, NY 11706 Phone: 631-968-8288 Fax: 631-968-8268 | |
Islandhealth Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Howells Rd, Bay Shore, NY 11706 Phone: 631-666-1956 Fax: 631-666-1957 | |
South Shore Bay Shore Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Brentwood Rd # D, Bay Shore, NY 11706 Phone: 631-647-4567 Fax: 631-647-4568 | |
Main Street Medical, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38-40 East Main Street, Bay Shore, NY 11706 Phone: 631-647-9555 Fax: 631-647-9548 | |
Edwardo M Yambo Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Brentwood Rd, Bay Shore, NY 11706 Phone: 631-968-0800 Fax: 631-665-0816 |