| Farmingdale Primary Care Pc | |
|
202 Fallwood Pkwy Farmingdale NY 11735-4929 | |
| (516) 249-1999 | |
| (516) 249-1911 |
| Full Name | Farmingdale Primary Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Fallwood Pkwy, Farmingdale, New York |
| Authorized Official Name and Position | Ronan Monsef (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5162491999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farmingdale Primary Care Pc 202 Fallwood Pkwy Farmingdale NY 11735-4929 Ph: (516) 249-1999 | Farmingdale Primary Care Pc 202 Fallwood Pkwy Farmingdale NY 11735-4929 Ph: (516) 249-1999 |
| NPI Number | 1073820965 |
|---|---|
| Provider Enumeration Date | 09/13/2010 |
| Last Update Date | 09/13/2010 |
| Medicare PECOS PAC ID | 0143416164 |
|---|---|
| Medicare Enrollment ID | O20101201001335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073820965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 234805 (New York) | Primary |
| Provider Name | Paul Bonheim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235139775 PECOS PAC ID: 2466355987 Enrollment ID: I20040917000751 |
| Provider Name | Mathew T Chengot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831147511 PECOS PAC ID: 1254366768 Enrollment ID: I20060105000144 |
| Provider Name | Ronan Monsef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528132594 PECOS PAC ID: 0547360091 Enrollment ID: I20070712000393 |
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