Island Family Medical Practice, Pc | |
848 Hicksville Rd N Massapequa NY 11758-1210 | |
(516) 731-3210 | |
(516) 731-3886 |
Full Name | Island Family Medical Practice, Pc |
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Speciality | Family Medicine |
Location | 848 Hicksville Rd, N Massapequa, New York |
Authorized Official Name and Position | Troy P Fabregas (PRESIDENT) |
Authorized Official Contact | 5167313210 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Island Family Medical Practice, Pc 848 Hicksville Rd N Massapequa NY 11758-1210 Ph: (516) 731-3210 | Island Family Medical Practice, Pc 848 Hicksville Rd N Massapequa NY 11758-1210 Ph: (516) 731-3210 |
NPI Number | 1437249513 |
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Provider Enumeration Date | 10/13/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 8325068117 |
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Medicare Enrollment ID | O20051122000633 |
Identifier | Type | State | Issuer |
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1437249513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 206142 (New York) | Secondary |
207Q00000X | Family Medicine | 197290 (New York) | Primary |
Provider Name | Paul Bonheim |
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Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1235139775 PECOS PAC ID: 2466355987 Enrollment ID: I20040917000751 |
Provider Name | Linda Deleo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366659666 PECOS PAC ID: 9032160692 Enrollment ID: I20050201000874 |
Provider Name | Troy P Fabregas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275620999 PECOS PAC ID: 0648291336 Enrollment ID: I20051208001005 |
Provider Name | Mathew T Chengot |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1831147511 PECOS PAC ID: 1254366768 Enrollment ID: I20060105000144 |
Michael Benhuri Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1025 N Broadway, N Massapequa, NY 11758 Phone: 516-249-3138 |