| Laurelton Medical Center | |
|
22414 Merrick Blvd Laurelton NY 11413-2023 | |
| (718) 949-6433 | |
| (718) 949-0331 |
| Full Name | Laurelton Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 22414 Merrick Blvd, Laurelton, New York |
| Authorized Official Name and Position | Samuel Boateng Akuoku (OWNER) |
| Authorized Official Contact | 7189496433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurelton Medical Center 22414 Merrick Blvd Laurelton NY 11413-2023 Ph: (718) 949-6433 | Laurelton Medical Center 22414 Merrick Blvd Laurelton NY 11413-2023 Ph: (718) 949-6433 |
| NPI Number | 1902216229 |
|---|---|
| Provider Enumeration Date | 05/08/2014 |
| Last Update Date | 08/31/2014 |
| Medicare PECOS PAC ID | 2860613049 |
|---|---|
| Medicare Enrollment ID | O20141103000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902216229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 178587 (New York) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | 178587 (New York) | Secondary |
| Provider Name | Lincoln I Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427156736 PECOS PAC ID: 2567444235 Enrollment ID: I20040605000075 |
| Provider Name | Samuel B Akuoku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962574418 PECOS PAC ID: 9931202389 Enrollment ID: I20110502000519 |
| Provider Name | Richard Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962472886 PECOS PAC ID: 7113095688 Enrollment ID: I20240501003737 |
Prestige Data Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22411 135th Ave, Laurelton, NY 11413 Phone: 718-581-7526 | |
Nurse Practitioner In Family Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130-51 228th St, Laurelton, NY 11413 Phone: 917-209-4606 | |
Keran S. Hill Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13423 229th St, Pvt, Laurelton, NY 11413 Phone: 917-376-3772 |