| Li Medical Group Pllc | |
|
2090 Jericho Tpke New Hyde Park NY 11040-4719 | |
| (516) 352-7828 | |
| Not Available |
| Full Name | Li Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2090 Jericho Tpke, New Hyde Park, New York |
| Authorized Official Name and Position | Luke Walton (ENROLLMENT MANAGER) |
| Authorized Official Contact | 9519003156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Li Medical Group Pllc 2090 Jericho Tpke New Hyde Park NY 11040-4719 Ph: () - | Li Medical Group Pllc 2090 Jericho Tpke New Hyde Park NY 11040-4719 Ph: (516) 352-7828 |
| NPI Number | 1144878414 |
|---|---|
| Provider Enumeration Date | 08/29/2019 |
| Last Update Date | 06/10/2020 |
| Medicare PECOS PAC ID | 7517397045 |
|---|---|
| Medicare Enrollment ID | O20221215002053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144878414 | NPI | - | NPPES |
| 01439550 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zinovy Kozlov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679505002 PECOS PAC ID: 4284620105 Enrollment ID: I20040423001360 |
| Provider Name | Valsa John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700955481 PECOS PAC ID: 5092705608 Enrollment ID: I20040515000245 |
| Provider Name | Vibhu Narang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356471643 PECOS PAC ID: 3173560687 Enrollment ID: I20050601000218 |
| Provider Name | Michael Donald Tang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780874461 PECOS PAC ID: 3678662475 Enrollment ID: I20071201000098 |
| Provider Name | Jonathan Aronbayev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750318721 PECOS PAC ID: 2567649650 Enrollment ID: I20110526000352 |
| Provider Name | Boris Byalik |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1346450897 PECOS PAC ID: 7618155433 Enrollment ID: I20110627000649 |
| Provider Name | Magdalena Marta Morkis-madaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700140928 PECOS PAC ID: 8123337375 Enrollment ID: I20161020000815 |
| Provider Name | Indravadan Dave |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497799944 PECOS PAC ID: 6709846363 Enrollment ID: I20190326002935 |
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 | |
Marie Elena Dragonetti Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Union Tpke, Suite 207, New Hyde Park, NY 11040 Phone: 516-488-3100 Fax: 516-488-3110 | |
Select Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Lakeville Rd Ste 200, New Hyde Park, NY 11042 Phone: 516-488-9700 Fax: 516-488-5128 | |
Thomas P Mathew Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 915 Hillside Ave, New Hyde Park, NY 11040 Phone: 718-343-7600 Fax: 718-343-7603 | |
Bharathi Reddy Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38 Duke Dr, New Hyde Park, NY 11040 Phone: 347-743-9519 | |
Baljit Kaur Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Howard Ave, New Hyde Park, NY 11040 Phone: 516-849-8235 | |
Asadur Miah Physician Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1575 Hillside Ave, Suite 201, New Hyde Park, NY 11040 Phone: 516-775-7112 Fax: 516-775-9019 |