Long Island Medical Services P.c. | |
235 Saddle Ln Syosset NY 11791-4428 | |
(917) 573-5667 | |
Not Available |
Full Name | Long Island Medical Services P.c. |
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Speciality | Internal Medicine |
Location | 235 Saddle Ln, Syosset, New York |
Authorized Official Name and Position | Grigoriy Krichmar (OWNER) |
Authorized Official Contact | 9175735667 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Long Island Medical Services P.c. 235 Saddle Ln Syosset NY 11791-4428 Ph: (917) 573-5667 | Long Island Medical Services P.c. 235 Saddle Ln Syosset NY 11791-4428 Ph: (917) 573-5667 |
NPI Number | 1841443538 |
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Provider Enumeration Date | 10/28/2008 |
Last Update Date | 11/10/2008 |
Medicare PECOS PAC ID | 3476619867 |
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Medicare Enrollment ID | O20090310000537 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841443538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 234331 (New York) | Primary |
Provider Name | Laura D Ploetzke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356402473 PECOS PAC ID: 3971554544 Enrollment ID: I20050201000928 |
Provider Name | Grigoriy Krichmar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043371164 PECOS PAC ID: 5597708206 Enrollment ID: I20050603000530 |
Provider Name | Darylann Ficken |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487723797 PECOS PAC ID: 5799786497 Enrollment ID: I20070124000041 |
Provider Name | Ebenezer P Thangavelu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780673228 PECOS PAC ID: 8921133596 Enrollment ID: I20100322000254 |
Provider Name | Danielle R Mcloughlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962756015 PECOS PAC ID: 9335379833 Enrollment ID: I20140303000123 |
Provider Name | Stephanie R Faton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801217229 PECOS PAC ID: 4284857178 Enrollment ID: I20140521002495 |
Provider Name | Keisha A Mahoney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255731501 PECOS PAC ID: 4385955350 Enrollment ID: I20150617000918 |
Provider Name | Saritha Surendran-mohanan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760907471 PECOS PAC ID: 4587920855 Enrollment ID: I20171102002716 |
Provider Name | Sophia C Palmer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003225152 PECOS PAC ID: 7911227384 Enrollment ID: I20171115001073 |
Provider Name | Pamela Braglia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013347822 PECOS PAC ID: 5395080832 Enrollment ID: I20190102002267 |
Provider Name | Maria V Pezzolla |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881129633 PECOS PAC ID: 2668707886 Enrollment ID: I20190710003077 |
Provider Name | Ramrattie Rambarran |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518582972 PECOS PAC ID: 5890114029 Enrollment ID: I20201007001618 |
Provider Name | Precious Bamawo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447549894 PECOS PAC ID: 5294155636 Enrollment ID: I20201023000453 |
Provider Name | Elizabeth Yeno |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447791306 PECOS PAC ID: 6002220498 Enrollment ID: I20210126001828 |
Provider Name | Tiana Sunshine Morano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619542453 PECOS PAC ID: 5496150690 Enrollment ID: I20210826001562 |
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