| Hewlett Internal Medicine | |
|
1490 Broadway 2nd Floor Hewlett NY 11557-1432 | |
| (516) 569-2900 | |
| (516) 569-3442 |
| Full Name | Hewlett Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1490 Broadway, Hewlett, New York |
| Authorized Official Name and Position | Jack Soterakis (PRESIDENT) |
| Authorized Official Contact | 5165626231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hewlett Internal Medicine Po Box 95000-6625 Philadelphia PA 19195-6625 Ph: (631) 465-6297 | Hewlett Internal Medicine 1490 Broadway 2nd Floor Hewlett NY 11557-1432 Ph: (516) 569-2900 |
| NPI Number | 1710222096 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 07/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710222096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 126020 (New York) | Primary |
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