| Larry I. Good, M.d. , P.c. | |
|
176 N Village Ave Rockville Centre NY 11570-3800 | |
| (516) 766-0300 | |
| (516) 766-2444 |
| Full Name | Larry I. Good, M.d. , P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 176 N Village Ave, Rockville Centre, New York |
| Authorized Official Name and Position | Larry I Good (PRESIDENT) |
| Authorized Official Contact | 5167660300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry I. Good, M.d. , P.c. 176 N Village Ave Rockville Centre NY 11570-3800 Ph: (516) 766-0300 | Larry I. Good, M.d. , P.c. 176 N Village Ave Rockville Centre NY 11570-3800 Ph: (516) 766-0300 |
| NPI Number | 1386786457 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1658417324 |
|---|---|
| Medicare Enrollment ID | O20091009000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386786457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 134286 (New York) | Primary |
| Provider Name | Larry I Good |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437134418 PECOS PAC ID: 8325032329 Enrollment ID: I20040413000463 |
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