| Island Concierge Medical Services Pllc | |
|
3400 Nesconset Hwy. Suite 103 East Setauket NY 11733 | |
| (631) 675-9393 | |
| (631) 675-9391 |
| Full Name | Island Concierge Medical Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 Nesconset Hwy. Suite 103, East Setauket, New York |
| Authorized Official Name and Position | Mohamed Sameen (MEDICAL DOCTOR) |
| Authorized Official Contact | 6316759393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Concierge Medical Services Pllc 3400 Nesconset Hwy. Suite 103 East Setauket NY 11733 Ph: (631) 675-9393 | Island Concierge Medical Services Pllc 3400 Nesconset Hwy. Suite 103 East Setauket NY 11733 Ph: (631) 675-9393 |
| NPI Number | 1871922898 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 12/17/2015 |
| Medicare PECOS PAC ID | 9537390562 |
|---|---|
| Medicare Enrollment ID | O20140314001858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871922898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 214732 (New York) | Primary |
| Provider Name | Mohamed Sameen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275577579 PECOS PAC ID: 1456349547 Enrollment ID: I20040505001734 |
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