| Ismail Ozcan Md Pc | |
|
95 Church St Lake Ronkonkoma NY 11779-4159 | |
| (631) 588-6665 | |
| (631) 580-5543 |
| Full Name | Ismail Ozcan Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 95 Church St, Lake Ronkonkoma, New York |
| Authorized Official Name and Position | Ismail Ozcan (OWNER) |
| Authorized Official Contact | 6315886665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismail Ozcan Md Pc 95 Church St Lake Ronkonkoma NY 11779-4159 Ph: (631) 588-6665 | Ismail Ozcan Md Pc 95 Church St Lake Ronkonkoma NY 11779-4159 Ph: (631) 588-6665 |
| NPI Number | 1518082080 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/10/2008 |
| Medicare PECOS PAC ID | 1456456458 |
|---|---|
| Medicare Enrollment ID | O20070419000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518082080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 242241 (New York) | Primary |
| Provider Name | Ismail Ozcan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932271509 PECOS PAC ID: 4284739285 Enrollment ID: I20070419000685 |
| Provider Name | Tarek Mousa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013177757 PECOS PAC ID: 0941452478 Enrollment ID: I20121210000192 |
| Provider Name | Gerard J Cusa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619017910 PECOS PAC ID: 3072765262 Enrollment ID: I20121217000188 |
| Provider Name | Erdal C Gursoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396846929 PECOS PAC ID: 3870770696 Enrollment ID: I20131101000845 |
| Provider Name | Parnian Kiamanesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598052946 PECOS PAC ID: 2264746676 Enrollment ID: I20150729009162 |
North Shore Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Portion Rd, Suite C, Lake Ronkonkoma, NY 11779 Phone: 631-585-5959 | |
Project Samaritan Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Lake Shore Rd, Lake Ronkonkoma, NY 11779 Phone: 631-306-5895 Fax: 718-657-1870 | |
Theodore Fried Burford Welch & David Hauer Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 388 Hawkins Ave, Suite 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480 | |
Lake Family Medical Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Portion Rd Ste A, Lake Ronkonkoma, NY 11779 Phone: 631-981-1333 Fax: 631-981-2326 | |
Rakesh Sharma Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Portion Rd, Suite 104, Lake Ronkonkoma, NY 11779 Phone: 631-588-8393 Fax: 631-588-2312 | |
Michael Creta, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-981-0045 Fax: 631-981-1117 |