| Family Wellness Center | |
|
120 Plant Ave Hauppauge NY 11788-3805 | |
| (631) 273-1300 | |
| (631) 273-4342 |
| Full Name | Family Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Plant Ave, Hauppauge, New York |
| Authorized Official Name and Position | Robert S. Budd (CEO) |
| Authorized Official Contact | 6312731300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Center 120 Plant Ave Hauppauge NY 11788-3805 Ph: (631) 273-1300 | Family Wellness Center 120 Plant Ave Hauppauge NY 11788-3805 Ph: (631) 273-1300 |
| NPI Number | 1093863565 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 11/17/2010 |
| Medicare PECOS PAC ID | 5890687453 |
|---|---|
| Medicare Enrollment ID | O20040327000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093863565 | NPI | - | NPPES |
| 02167980 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 5157205R (New York) | Primary |
| Provider Name | Diane Wagner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194812164 PECOS PAC ID: 4284626029 Enrollment ID: I20040401000025 |
| Provider Name | Arthur S Kurtz |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1396849071 PECOS PAC ID: 8325020233 Enrollment ID: I20040603001394 |
| Provider Name | Gary M Hahn |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336122985 PECOS PAC ID: 6901855477 Enrollment ID: I20050121000731 |
| Provider Name | Andrea C Stengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235225871 PECOS PAC ID: 9234170226 Enrollment ID: I20050519000869 |
| Provider Name | Marc A Foucher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952302325 PECOS PAC ID: 7214979814 Enrollment ID: I20050524000944 |
| Provider Name | Kevin J Kearney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316043292 PECOS PAC ID: 7810930484 Enrollment ID: I20050604000048 |
| Provider Name | Donna F Pettick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235244211 PECOS PAC ID: 7113953175 Enrollment ID: I20050711000773 |
| Provider Name | Alan L Steinberg |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1225022072 PECOS PAC ID: 0648285288 Enrollment ID: I20060227000181 |
| Provider Name | Elizabeth H Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043334394 PECOS PAC ID: 2163439035 Enrollment ID: I20060317000229 |
| Provider Name | Satwatie Antis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326170689 PECOS PAC ID: 5991853608 Enrollment ID: I20090507000536 |
| Provider Name | Stacy M Yearwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306053285 PECOS PAC ID: 5294877528 Enrollment ID: I20100125000175 |
| Provider Name | Monica I Rosenbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013152651 PECOS PAC ID: 4385837830 Enrollment ID: I20101018000382 |
| Provider Name | Shari A Gessner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548411473 PECOS PAC ID: 9234312489 Enrollment ID: I20110324000757 |
| Provider Name | Syed H Jaffery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427184829 PECOS PAC ID: 5991981102 Enrollment ID: I20110523000529 |
| Provider Name | Danielle Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114159423 PECOS PAC ID: 2860636198 Enrollment ID: I20130926000304 |
| Provider Name | Elizabeth Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295150050 PECOS PAC ID: 6709000243 Enrollment ID: I20140624000858 |
| Provider Name | Miriam Wax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588081103 PECOS PAC ID: 6709175169 Enrollment ID: I20160525001632 |
| Provider Name | Diane Elizabeth Wahne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619454139 PECOS PAC ID: 5890049514 Enrollment ID: I20181116000463 |
| Provider Name | Claudine E Jones-bourne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013335017 PECOS PAC ID: 5698029502 Enrollment ID: I20200410000748 |
| Provider Name | Emmanuella Saget |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033353958 PECOS PAC ID: 6608297734 Enrollment ID: I20200528001193 |
| Provider Name | Pamela Jane Rathburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508147950 PECOS PAC ID: 8022403476 Enrollment ID: I20220322000103 |
| Provider Name | Francis Kenneth Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588180301 PECOS PAC ID: 0143692939 Enrollment ID: I20230203000784 |
| Provider Name | Amanda Rose Kozakiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669197950 PECOS PAC ID: 1759746548 Enrollment ID: I20230501001138 |
| Provider Name | Kathleen Ann Defilippo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730849290 PECOS PAC ID: 6204286339 Enrollment ID: I20240102001329 |
Ime Med Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Mount Pleasant Rd, Hauppauge, NY 11788 Phone: 631-223-9479 | |
Sekhar Gollapalli Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 497 Townline Rd, Hauppauge, NY 11788 Phone: 631-724-2340 Fax: 631-724-2342 | |
Physician House Call Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Mount Pleasant Rd, Hauppauge, NY 11788 Phone: 631-724-9394 Fax: 631-724-8076 | |
Island Medical House Doctor Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 88 Arkay Dr, Hauppauge, NY 11788 Phone: 631-514-7600 Fax: 631-514-7601 | |
Comprehensive Medical Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 Route 111 Fl 2, Hauppauge, NY 11788 Phone: 631-224-1819 Fax: 631-224-1812 | |
Avraham Calev Assessment And Counseling Center Of Long Island Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Smithtown Byp, 119, Hauppauge, NY 11788 Phone: 631-361-7389 Fax: 631-246-5469 |