| Home Medical Services Pllc | |
|
3505 Veterans Memorial Hwy Ste C Ronkonkoma NY 11779-7613 | |
| (631) 676-7656 | |
| (631) 676-7648 |
| Full Name | Home Medical Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3505 Veterans Memorial Hwy Ste C, Ronkonkoma, New York |
| Authorized Official Name and Position | Amanda Lee (OFFICE MANAGER) |
| Authorized Official Contact | 6316767656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Medical Services Pllc 3505 Veterans Memorial Hwy Ste C Ronkonkoma NY 11779-7613 Ph: (631) 676-7656 | Home Medical Services Pllc 3505 Veterans Memorial Hwy Ste C Ronkonkoma NY 11779-7613 Ph: (631) 676-7656 |
| NPI Number | 1558833384 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 12/18/2018 |
| Medicare PECOS PAC ID | 2062753320 |
|---|---|
| Medicare Enrollment ID | O20190415001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558833384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wei K Kao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629295571 PECOS PAC ID: 9133015753 Enrollment ID: I20110825000655 |
| Provider Name | Crysti Mincey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881231967 PECOS PAC ID: 1850703513 Enrollment ID: I20201222001141 |
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