Joel B Loewenstein, Md, Pc | |
630 E Park Ave Long Beach NY 11561-2505 | |
(516) 432-2900 | |
(516) 432-2904 |
Full Name | Joel B Loewenstein, Md, Pc |
---|---|
Speciality | Internal Medicine |
Location | 630 E Park Ave, Long Beach, New York |
Authorized Official Name and Position | Joel B Loewenstein (OWNER) |
Authorized Official Contact | 5164322900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Joel B Loewenstein, Md, Pc 630 E Park Ave Long Beach NY 11561-2505 Ph: (516) 432-2900 | Joel B Loewenstein, Md, Pc 630 E Park Ave Long Beach NY 11561-2505 Ph: (516) 432-2900 |
NPI Number | 1033286257 |
---|---|
Provider Enumeration Date | 11/30/2006 |
Last Update Date | 04/11/2008 |
Medicare PECOS PAC ID | 4880873637 |
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Medicare Enrollment ID | O20110125000990 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033286257 | NPI | - | NPPES |
AS432 | Other | NY | OXFORD |
00258388 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 119507 (New York) | Primary |
Provider Name | Joel Loewenstein |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1174501795 PECOS PAC ID: 9830378686 Enrollment ID: I20110125001056 |
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