Jackie P. Orfanos,md, Pc | |
700 Old Country Rd Suite 200 Plainview NY 11803-4932 | |
(516) 681-5801 | |
(516) 681-5861 |
Full Name | Jackie P. Orfanos,md, Pc |
---|---|
Speciality | Internal Medicine |
Location | 700 Old Country Rd, Plainview, New York |
Authorized Official Name and Position | Jackie P. Orfanos (MD) |
Authorized Official Contact | 5169931207 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jackie P. Orfanos,md, Pc 700 Old Country Rd Suite 200 Plainview NY 11803-4932 Ph: (516) 681-5801 | Jackie P. Orfanos,md, Pc 700 Old Country Rd Suite 200 Plainview NY 11803-4932 Ph: (516) 681-5801 |
NPI Number | 1225426018 |
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Provider Enumeration Date | 12/31/2014 |
Last Update Date | 01/12/2015 |
Medicare PECOS PAC ID | 4688991813 |
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Medicare Enrollment ID | O20150326001115 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225426018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 180070 (New York) | Primary |
Provider Name | Jackie P Orfanos |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548250715 PECOS PAC ID: 4082746052 Enrollment ID: I20100712000174 |
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