| Life Body Medicine, Pllc | |
|
6 Tuxedo Ave New Hyde Park NY 11040-3519 | |
| (347) 249-0768 | |
| Not Available |
| Full Name | Life Body Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Tuxedo Ave, New Hyde Park, New York |
| Authorized Official Name and Position | Unnikrishnan Narayanan Thampy (OWNER) |
| Authorized Official Contact | 5163951835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Body Medicine, Pllc 6 Tuxedo Ave New Hyde Park NY 11040-3519 Ph: (347) 249-0768 | Life Body Medicine, Pllc 6 Tuxedo Ave New Hyde Park NY 11040-3519 Ph: (347) 249-0768 |
| NPI Number | 1700448552 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 04/11/2022 |
| Medicare PECOS PAC ID | 1456747930 |
|---|---|
| Medicare Enrollment ID | O20220409000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700448552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Unnikrishnan Narayanan Thampy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093940843 PECOS PAC ID: 1153461603 Enrollment ID: I20120413000626 |
Robert Glaser M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Hollow Ln, Suite 312, New Hyde Park, NY 11042 Phone: 516-328-3888 Fax: 516-487-0576 | |
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