| Island Family Medicine Pc | |
|
20 Unqua Rd Massapequa NY 11758 | |
| (516) 799-9700 | |
| (516) 799-0134 |
| Full Name | Island Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 20 Unqua Rd, Massapequa, New York |
| Authorized Official Name and Position | Anthony A Foto (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 5167999700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Family Medicine Pc 20 Unqua Rd Massapequa NY 11758 Ph: (516) 799-9700 | Island Family Medicine Pc 20 Unqua Rd Massapequa NY 11758 Ph: (516) 799-9700 |
| NPI Number | 1194831016 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 05/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194831016 | NPI | - | NPPES |
| 02095036 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 208853 (New York) | Primary |
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