| Innovative Medical Care Pllc | |
|
1350 Deer Park Ave North Babylon NY 11703-1619 | |
| (631) 940-0409 | |
| (631) 940-1834 |
| Full Name | Innovative Medical Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1350 Deer Park Ave, North Babylon, New York |
| Authorized Official Name and Position | Behrouz Farahmandpour (PRESIDENT) |
| Authorized Official Contact | 6319401834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Medical Care Pllc 30 Haight St Deer Park NY 11729-3135 Ph: (631) 940-1834 | Innovative Medical Care Pllc 1350 Deer Park Ave North Babylon NY 11703-1619 Ph: (631) 940-0409 |
| NPI Number | 1063720910 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 09/14/2010 |
| Medicare PECOS PAC ID | 4688863467 |
|---|---|
| Medicare Enrollment ID | O20110110000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063720910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 233446 (New York) | Primary |
| Provider Name | Behrouz Farahmandpour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447246756 PECOS PAC ID: 4981634516 Enrollment ID: I20050815000132 |
| Provider Name | Brian Gerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740552637 PECOS PAC ID: 7214358977 Enrollment ID: I20200604001401 |
Long Island Comprehensive Medical Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1231 Deer Park Ave, North Babylon, NY 11703 Phone: 631-667-0388 Fax: 631-968-7705 | |
Valdemar Np In Psychiatry Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1241 Deer Park Ave Ste 1, North Babylon, NY 11703 Phone: 631-241-2568 | |
Jacqueline M Spencer Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1452 Deer Park Ave, North Babylon, NY 11703 Phone: 631-254-8500 Fax: 631-254-8503 | |
Long Island Medical Care Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 986 Sunrise Highway, North Babylon, NY 11703 Phone: 631-587-6060 Fax: 631-587-1364 | |
Jeffrey M Nakhjavan Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 Deer Park Ave, North Babylon, NY 11703 Phone: 631-242-1181 | |
Termini Medical Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1452 Deer Park Ave, North Babylon, NY 11703 Phone: 631-254-4480 Fax: 631-254-4970 |