| John Oppenheimer, M.d., Pllc | |
|
60 Bay St Sag Harbor NY 11963-3106 | |
| (621) 725-4600 | |
| Not Available |
| Full Name | John Oppenheimer, M.d., Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 60 Bay St, Sag Harbor, New York |
| Authorized Official Name and Position | John Oppenheimer (PHYSICAN) |
| Authorized Official Contact | 6317254600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Oppenheimer, M.d., Pllc Po Box 3137 Sag Harbor NY 11963-0405 Ph: (621) 725-4600 | John Oppenheimer, M.d., Pllc 60 Bay St Sag Harbor NY 11963-3106 Ph: (621) 725-4600 |
| NPI Number | 1780956441 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 01/27/2012 |
| Medicare PECOS PAC ID | 5799945366 |
|---|---|
| Medicare Enrollment ID | O20120320000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780956441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 150853 (New York) | Primary |
| Provider Name | John K Oppenheimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659364214 PECOS PAC ID: 3274678131 Enrollment ID: I20100303000200 |
Medical Office Of Doctor Ilona K Polak Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34 Bay St # 103, Sag Harbor, NY 11963 Phone: 631-808-3337 Fax: 631-808-3338 |