| Kornblit Medical Practice | |
|
830 Atlantic Ave Baldwin NY 11510-4098 | |
| (516) 867-6868 | |
| (516) 867-0892 |
| Full Name | Kornblit Medical Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 830 Atlantic Ave, Baldwin, New York |
| Authorized Official Name and Position | Jack Soterakis (PRESIDENT) |
| Authorized Official Contact | 5165626231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kornblit Medical Practice Po Box 95000-6625 Philadelphia PA 19195-6625 Ph: (631) 465-6297 | Kornblit Medical Practice 830 Atlantic Ave Baldwin NY 11510-4098 Ph: (516) 867-6868 |
| NPI Number | 1912344250 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 07/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912344250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 153429 (New York) | Primary |
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Michael A. Dibari , M.d. , P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 Merrick Rd, Baldwin, NY 11510 Phone: 516-425-2072 | |
Kornblit Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 Atlantic Ave, Baldwin, NY 11510 Phone: 516-867-6868 | |
Zev Brandel Md,pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2504 Grand Ave, Baldwin, NY 11510 Phone: 516-868-3080 Fax: 516-771-6851 | |
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