Jay B Stambler Md Medical Pc | |
450 Waverly Avenue Bld 3 Ste 1 Patchogue NY 11772-1555 | |
(631) 438-0333 | |
(631) 438-0337 |
Full Name | Jay B Stambler Md Medical Pc |
---|---|
Speciality | Internal Medicine |
Location | 450 Waverly Avenue Bld 3 Ste 1, Patchogue, New York |
Authorized Official Name and Position | Jay B Stambler (PRESIDENT) |
Authorized Official Contact | 6314380333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jay B Stambler Md Medical Pc 450 Waverly Avenue Bld 3 Ste 1 Patchogue NY 11772-1555 Ph: (631) 438-0333 | Jay B Stambler Md Medical Pc 450 Waverly Avenue Bld 3 Ste 1 Patchogue NY 11772-1555 Ph: (631) 438-0333 |
NPI Number | 1841776952 |
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Provider Enumeration Date | 07/12/2018 |
Last Update Date | 07/25/2019 |
Medicare PECOS PAC ID | 7113279795 |
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Medicare Enrollment ID | O20181009003085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841776952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 135486 (New York) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | 135486 (New York) | Secondary |
Provider Name | Jay B Stambler |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821029026 PECOS PAC ID: 3072652973 Enrollment ID: I20091207000445 |
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