<unavail> in Hauppauge, NY - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Hauppauge, New York. The current practice location for is 120 Plant Ave, Hauppauge, New York. For appointments, you can reach them via phone at (631) 650-2510. The mailing address for is 159 Carleton Ave, Central Islip, New York and phone number is (631) 650-2510.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700331691. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (631) 650-2510.

Contact Information


	120 Plant Ave Hauppauge NY 11788-3805
	(631) 650-2510
	(631) 650-0497

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	120 Plant Ave, Hauppauge, New York
Authorized Official Name and Position	James Powell (CEO)
Authorized Official Contact	6316502085
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
159 Carleton Ave Central Islip NY 11722-4172 Ph: (631) 650-2510	120 Plant Ave Hauppauge NY 11788-3805 Ph: (631) 650-2510

NPI Details:

NPI Number	1700331691
Provider Enumeration Date	08/20/2016
Last Update Date	09/27/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	5991086225
Medicare Enrollment ID	O20170210000302

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700331691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Hauppauge, NY

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- Medicare Primary Care in Hauppauge, NY