| Lish, Inc. | |
|
33 Terryville Rd Port Jefferson Station NY 11776-1331 | |
| (631) 650-2510 | |
| (631) 650-0497 |
| Full Name | Lish, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 33 Terryville Rd, Port Jefferson Station, 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 | Practice Location Address |
|---|---|
| Lish, Inc. 159 Carleton Ave Central Islip NY 11722-4172 Ph: (631) 650-2510 | Lish, Inc. 33 Terryville Rd Port Jefferson Station NY 11776-1331 Ph: (631) 650-2510 |
| NPI Number | 1417300575 |
|---|---|
| Provider Enumeration Date | 07/13/2016 |
| Last Update Date | 09/27/2019 |
| Medicare PECOS PAC ID | 5991086225 |
|---|---|
| Medicare Enrollment ID | O20170216000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417300575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Michael W. Mendelson, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5360 Nesconset Hwy Ste B, Port Jefferson Station, NY 11776 Phone: 631-331-3200 Fax: 631-331-3694 | |
Harbor Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 206-202-3956 | |
North Shore Hematology/oncology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-751-3000 Fax: 631-751-0506 | |
Port Jeff Medical Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-642-1100 Fax: 631-642-1190 | |
North Shore Immediate Medical Care P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Patchogue Rd, Port Jefferson Station, NY 11776 Phone: 631-331-1100 Fax: 631-331-0223 | |
Haven Medical Services, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 Route 112, Port Jefferson Station, NY 11776 Phone: 631-473-3304 Fax: 631-474-1692 | |
Aziz Chaudry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2b Medical Park Drive, Port Jefferson Station, NY 11776 Phone: 631-928-1830 Fax: 631-928-1830 |