| Family Medical Practice Of Long Island P.c. | |
|
221 Broadway Suite 207 Amityville NY 11701-2780 | |
| (631) 786-5692 | |
| (631) 368-4891 |
| Full Name | Family Medical Practice Of Long Island P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 221 Broadway, Amityville, New York |
| Authorized Official Name and Position | Robert Polofsky (OWNER) |
| Authorized Official Contact | 6317865692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Practice Of Long Island P.c. Po Box 230 Massapequa NY 11758-0230 Ph: (631) 786-5692 | Family Medical Practice Of Long Island P.c. 221 Broadway Suite 207 Amityville NY 11701-2780 Ph: (631) 786-5692 |
| NPI Number | 1972678183 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 03/16/2017 |
| Medicare PECOS PAC ID | 8921278326 |
|---|---|
| Medicare Enrollment ID | O20110823000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972678183 | NPI | - | NPPES |
| 21003100852 | Other | NY | BEECH STREET |
| 2849737 | Other | NY | CIGNA |
| 01558938 | Medicaid | NY | |
| 062449890 | Other | NY | GREAT WEST |
| 6004917 | Other | NY | GHI |
| 97F471 | Other | NY | BLUE CROSS BLUE SHIELD |
| 0490232 | Other | NY | AETNA |
| 080142404 | Other | NY | MEDICARE RRB |
| 2C8087 | Other | NY | HEALTHNET |
| DA48747A | Other | NY | MDNY |
| P398100 | Other | NY | OXFORD |
| 0490232 | Other | NY | USHC |
| 50767 | Other | NY | VYTRA |
| 168859 | Other | NY | HIP |
| 168859-A10 | Other | NY | HEALTHFIRST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 168859 (New York) | Primary |
| Provider Name | Robert Polofsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902830557 PECOS PAC ID: 7517979941 Enrollment ID: I20110804000046 |
Bk Goyal Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 333 Broadway, Amityville, NY 11701 Phone: 631-789-2020 Fax: 631-789-5669 | |
Gulati & Goyal Physicians, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Broadway, Amityville, NY 11701 Phone: 631-789-2020 Fax: 631-789-5669 | |
Amityville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W Oak St, Amityville, NY 11701 Phone: 631-264-1800 Fax: 631-264-1813 | |
Tri-community-maxine S Postal Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 Sunrise Hwy, Amityville, NY 11701 Phone: 631-854-1000 Fax: 631-854-1031 | |
Dr Andrew M Hararah Do Pc Medical C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 357 Broadway, Amityville, NY 11701 Phone: 631-789-7900 Fax: 631-608-8492 | |
Piya Ghoshal, M.d.,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 Broadway, Suite 6, Amityville, NY 11701 Phone: 631-264-8600 Fax: 631-264-8403 | |
Vijaykumar Shah Md P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Broadway, Amityville, NY 11701 Phone: 516-626-5330 Fax: 516-626-6527 |