Jonathan E Ariyaratnam Md Pllc | |
1000 Montauk Hwy West Islip NY 11795-4927 | |
(516) 813-6875 | |
Not Available |
Full Name | Jonathan E Ariyaratnam Md Pllc |
---|---|
Speciality | Family Medicine |
Location | 1000 Montauk Hwy, West Islip, New York |
Authorized Official Name and Position | Jonathan Ariyaratnam (MD) |
Authorized Official Contact | 5168136875 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jonathan E Ariyaratnam Md Pllc 8008 135th St Jamaica NY 11435-1049 Ph: (516) 813-6875 | Jonathan E Ariyaratnam Md Pllc 1000 Montauk Hwy West Islip NY 11795-4927 Ph: (516) 813-6875 |
NPI Number | 1699540658 |
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Provider Enumeration Date | 11/20/2023 |
Last Update Date | 11/20/2023 |
Medicare PECOS PAC ID | 1052759248 |
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Medicare Enrollment ID | O20240408001092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699540658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jonathan Ariyaratnam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134758873 PECOS PAC ID: 8820450539 Enrollment ID: I20240201003357 |
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