| Healthsource Medical Services Pllc | |
|
3001 Express Dr N Ste 200c Islandia NY 11749-5301 | |
| (631) 435-0110 | |
| Not Available |
| Full Name | Healthsource Medical Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3001 Express Dr N Ste 200c, Islandia, New York |
| Authorized Official Name and Position | John Folan (MD) |
| Authorized Official Contact | 6314350110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Medical Services Pllc Po Box 206 East Setauket NY 11733-0206 Ph: (631) 435-0110 | Healthsource Medical Services Pllc 3001 Express Dr N Ste 200c Islandia NY 11749-5301 Ph: (631) 435-0110 |
| NPI Number | 1891028650 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 08/11/2014 |
| Medicare PECOS PAC ID | 1557495876 |
|---|---|
| Medicare Enrollment ID | O20100821000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891028650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 167755 (New York) | Primary |
| Provider Name | Michael Ryder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659598589 PECOS PAC ID: 8820984446 Enrollment ID: I20040223000258 |
| Provider Name | Keith A Clement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528058732 PECOS PAC ID: 9739129453 Enrollment ID: I20050511000846 |
| Provider Name | Joan A Scalera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881812543 PECOS PAC ID: 7911047485 Enrollment ID: I20091214000387 |
| Provider Name | John F Folan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780801605 PECOS PAC ID: 7214823830 Enrollment ID: I20100831000856 |
| Provider Name | Beth A. Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134434129 PECOS PAC ID: 9931385119 Enrollment ID: I20110602000562 |
| Provider Name | Cheriyan Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619248481 PECOS PAC ID: 6305080946 Enrollment ID: I20130920000206 |
| Provider Name | Anna Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255729802 PECOS PAC ID: 1355661711 Enrollment ID: I20150526002411 |
| Provider Name | Zeeshan Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144668864 PECOS PAC ID: 2769778299 Enrollment ID: I20160909001795 |
| Provider Name | Kristan Elaina Probeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780944363 PECOS PAC ID: 3779883053 Enrollment ID: I20161101000364 |
| Provider Name | Jill Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710415088 PECOS PAC ID: 1850669391 Enrollment ID: I20170626000084 |
| Provider Name | Kristin Marie Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942613203 PECOS PAC ID: 0042575227 Enrollment ID: I20180629001664 |
Advantage Health Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Expressway Dr N, Ste 200c, Islandia, NY 11749 Phone: 631-435-4358 Fax: 631-435-4583 | |
Vital Medi Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1797 Veterans Memorial Hwy, Islandia, NY 11749 Phone: 631-838-5320 | |
Suffolk Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Expressway Dr N, Suite 200c, Islandia, NY 11749 Phone: 631-435-4358 | |
Suffolk Medical Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1726 Veterans Memorial Hwy, Islandia, NY 11749 Phone: 631-600-7878 | |
Northside Primary Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Expressway Dr N, Suite 200c, Islandia, NY 11749 Phone: 631-435-4358 Fax: 631-435-4583 | |
Healthsure Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Expressway Dr N, Suite 104, Islandia, NY 11749 Phone: 631-435-4582 | |
Namaste Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1726 Veterans Memorial Hwy, Islandia, NY 11749 Phone: 516-755-5855 |