Kraydman Medical, P.c. | |
49 Dolphin Ln Northport NY 11768-1860 | |
(631) 767-7724 | |
(631) 271-9155 |
Full Name | Kraydman Medical, P.c. |
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Speciality | Family Medicine |
Location | 49 Dolphin Ln, Northport, New York |
Authorized Official Name and Position | Valeriy Kraydman (OWNER) |
Authorized Official Contact | 6312719151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kraydman Medical, P.c. 49 Dolphin Ln Northport NY 11768-1860 Ph: (631) 767-7724 | Kraydman Medical, P.c. 49 Dolphin Ln Northport NY 11768-1860 Ph: (631) 767-7724 |
NPI Number | 1669025144 |
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Provider Enumeration Date | 07/23/2019 |
Last Update Date | 07/23/2019 |
Medicare PECOS PAC ID | 1254669500 |
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Medicare Enrollment ID | O20190823001474 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669025144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Valeriy Kraydman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922260660 PECOS PAC ID: 0345304754 Enrollment ID: I20090130000089 |
Compcare Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Paddock Dr, Northport, NY 11768 Phone: 631-332-6704 | |
Medredefined Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 345 Waterside Rd, Northport, NY 11768 Phone: 631-857-4439 | |
Quality Medical Fitness, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 389 Fort Salonga Rd Ste 3, Northport, NY 11768 Phone: 631-424-1170 Fax: 631-424-1171 | |
Northport Family Medicine P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Northport, NY 11768 Phone: 631-261-4445 Fax: 631-261-3710 | |
Progressive Medical Fitness Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 389 Fort Salonga Rd Ste 2, Northport, NY 11768 Phone: 631-201-2474 Fax: 631-382-8325 | |
Richard P. Boughal, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Main St, Northport, NY 11768 Phone: 631-261-3243 Fax: 631-757-6804 |