| Long Island Primary Medical Care | |
|
120 Bethpage Rd Hicksville NY 11801-1515 | |
| (516) 827-4500 | |
| (516) 827-4508 |
| Full Name | Long Island Primary Medical Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 Bethpage Rd, Hicksville, New York |
| Authorized Official Name and Position | Daniel Walsh (CEO) |
| Authorized Official Contact | 5168274500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Primary Medical Care 120 Bethpage Rd Hicksville NY 11801-1515 Ph: (516) 827-4500 | Long Island Primary Medical Care 120 Bethpage Rd Hicksville NY 11801-1515 Ph: (516) 827-4500 |
| NPI Number | 1982656989 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 04/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982656989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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