| Island Primary Medical Care Associates Pc | |
|
4625 Merrick Rd Massapequa NY 11758-6010 | |
| (516) 798-1116 | |
| (516) 798-8530 |
| Full Name | Island Primary Medical Care Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4625 Merrick Rd, Massapequa, New York |
| Authorized Official Name and Position | Joseph Adiyody (PARTNER) |
| Authorized Official Contact | 5167981116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Primary Medical Care Associates Pc Po Box 9461 Uniondale NY 11555-9461 Ph: () - | Island Primary Medical Care Associates Pc 4625 Merrick Rd Massapequa NY 11758-6010 Ph: (516) 798-1116 |
| NPI Number | 1487692083 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 12/17/2010 |
| Medicare PECOS PAC ID | 3173412418 |
|---|---|
| Medicare Enrollment ID | O20110222001177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487692083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 166537 (New York) | Primary |
| Provider Name | Anil Maheshwari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548299746 PECOS PAC ID: 3678754751 Enrollment ID: I20110222001174 |
| Provider Name | Tharun Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578595328 PECOS PAC ID: 5597946558 Enrollment ID: I20110223000940 |
| Provider Name | Sachin Kamath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659309920 PECOS PAC ID: 0143401117 Enrollment ID: I20110223001037 |
| Provider Name | Marian Kamath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184652356 PECOS PAC ID: 9830370923 Enrollment ID: I20110224000039 |
| Provider Name | Joseph V Adiyody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568491868 PECOS PAC ID: 8921289018 Enrollment ID: I20110224000061 |
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