| Infectious Disease Consultant Of Long Island Pc | |
|
1201 Northern Blvd Suite 300 Manhasset NY 11030-3037 | |
| (516) 404-0493 | |
| Not Available |
| Full Name | Infectious Disease Consultant Of Long Island Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1201 Northern Blvd, Manhasset, New York |
| Authorized Official Name and Position | Yelena Markovskaya (CEO / OWNER) |
| Authorized Official Contact | 5164040493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultant Of Long Island Pc Po Box 530 Jericho NY 11753-0530 Ph: (516) 404-0493 | Infectious Disease Consultant Of Long Island Pc 1201 Northern Blvd Suite 300 Manhasset NY 11030-3037 Ph: (516) 404-0493 |
| NPI Number | 1619237807 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Medicare PECOS PAC ID | 5496910945 |
|---|---|
| Medicare Enrollment ID | O20120706000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619237807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 222363 (New York) | Primary |
| Provider Name | Yelena Markovskaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568592855 PECOS PAC ID: 9537146873 Enrollment ID: I20040702001178 |
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