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240a Long Island Ave Wyandanch NY 11798-3123 | |
(631) 782-6200 | |
(631) 491-5354 |
Full Name | |
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Speciality | Clinic/center |
Location | 240a Long Island Ave, Wyandanch, New York |
Authorized Official Name and Position | Stephen Mccarthy (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 6316695355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1 Farmingdale Road Route 109 West Babylon NY 11704 Ph: (631) 669-5355 | 240a Long Island Ave Wyandanch NY 11798-3123 Ph: (631) 782-6200 |
NPI Number | 1275927600 |
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Provider Enumeration Date | 03/24/2015 |
Last Update Date | 09/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275927600 | NPI | - | NPPES |
WEY681 | Other | NY | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (New York) | Primary |
Skope Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1537 Straight Path, Ste 102, Wyandanch, NY 11798 Phone: 631-253-0270 |