| Haven Medical Services, Plc | |
|
1350 Route 112 Port Jefferson Station NY 11776-3078 | |
| (631) 473-3304 | |
| (631) 474-1692 |
| Full Name | Haven Medical Services, Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1350 Route 112, Port Jefferson Station, New York |
| Authorized Official Name and Position | Corazon M Go (OWNER) |
| Authorized Official Contact | 6314733304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Medical Services, Plc 1350 Route 112 Port Jefferson Station NY 11776-3078 Ph: (631) 473-3304 | Haven Medical Services, Plc 1350 Route 112 Port Jefferson Station NY 11776-3078 Ph: (631) 473-3304 |
| NPI Number | 1235301185 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235301185 | NPI | - | NPPES |
| 00211463 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 115112 (New York) | Primary |
Michael W. Mendelson, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5360 Nesconset Hwy Ste B, Port Jefferson Station, NY 11776 Phone: 631-331-3200 Fax: 631-331-3694 | |
Harbor Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 206-202-3956 | |
North Shore Hematology/oncology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-751-3000 Fax: 631-751-0506 | |
Port Jeff Medical Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-642-1100 Fax: 631-642-1190 | |
North Shore Immediate Medical Care P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Patchogue Rd, Port Jefferson Station, NY 11776 Phone: 631-331-1100 Fax: 631-331-0223 | |
Aziz Chaudry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2b Medical Park Drive, Port Jefferson Station, NY 11776 Phone: 631-928-1830 Fax: 631-928-1830 |