| Lukose Medical Pllc | |
|
4295 Hempstead Tpke Bethpage NY 11714-5713 | |
| (631) 271-9151 | |
| (631) 271-9155 |
| Full Name | Lukose Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4295 Hempstead Tpke, Bethpage, New York |
| Authorized Official Name and Position | Siju Lukose (OWNER) |
| Authorized Official Contact | 6312719151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lukose Medical Pllc 1662 Old Country Rd Unit 1200 Plainview NY 11803-7003 Ph: (631) 271-9151 | Lukose Medical Pllc 4295 Hempstead Tpke Bethpage NY 11714-5713 Ph: (631) 271-9151 |
| NPI Number | 1750068276 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 06/28/2023 |
| Medicare PECOS PAC ID | 9133578925 |
|---|---|
| Medicare Enrollment ID | O20231205002168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750068276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Siju Lukose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851897110 PECOS PAC ID: 0042554297 Enrollment ID: I20220218000567 |
The Safe Center Li Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Grumman Rd W, Ste 1000, Bethpage, NY 11714 Phone: 516-465-4700 | |
Medical Teleheath Blue, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4271 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-714-3766 Fax: 516-268-6398 | |
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Medical Teleheath Green, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4271 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-900-7922 Fax: 516-268-6398 | |
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