| Kings Park Medicine Pc | |
|
93 Main St Suite A Kings Park NY 11754-2740 | |
| (631) 292-2725 | |
| (631) 292-2727 |
| Full Name | Kings Park Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 93 Main St, Kings Park, New York |
| Authorized Official Name and Position | Weymin G Hago (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6312922725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Park Medicine Pc 93 Main St Suite A Kings Park NY 11754-2740 Ph: (631) 292-2725 | Kings Park Medicine Pc 93 Main St Suite A Kings Park NY 11754-2740 Ph: (631) 292-2725 |
| NPI Number | 1609200716 |
|---|---|
| Provider Enumeration Date | 08/26/2013 |
| Last Update Date | 08/26/2013 |
| Medicare PECOS PAC ID | 7810110616 |
|---|---|
| Medicare Enrollment ID | O20140523001407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609200716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 258181-1 (New York) | Primary |
| Provider Name | Weymin G Hago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992941314 PECOS PAC ID: 9739368093 Enrollment ID: I20110119000979 |
Kings Park Primary Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Indian Head Rd, Suite 2, Kings Park, NY 11754 Phone: 631-269-0180 Fax: 631-269-0178 | |
Kings Park Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 93 Main St Ste A, Kings Park, NY 11754 Phone: 631-292-2725 Fax: 631-292-2727 | |
St. Johnland Nursing Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 395 Sunken Meadow Rd, Kings Park, NY 11754 Phone: 631-269-5800 Fax: 631-269-5876 | |
Michael Desposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 East Northport Road, Kings Park, NY 11754 Phone: 631-269-1148 Fax: 631-269-1149 | |
Best Life Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Primrose Ln, Kings Park, NY 11754 Phone: 631-748-7730 |