| Mark Tieman, Md, Pc | |
|
356 Veterans Memorial Hwy Commack NY 11725-4343 | |
| (631) 858-0400 | |
| (631) 543-2785 |
| Full Name | Mark Tieman, Md, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 356 Veterans Memorial Hwy, Commack, New York |
| Authorized Official Name and Position | Mark Daryl Tieman (PRESIDENT) |
| Authorized Official Contact | 6314249844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Tieman, Md, Pc 34 Copperdale Ln Huntington NY 11743-2523 Ph: (631) 424-9844 | Mark Tieman, Md, Pc 356 Veterans Memorial Hwy Commack NY 11725-4343 Ph: (631) 858-0400 |
| NPI Number | 1821375940 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 11/03/2011 |
| Medicare PECOS PAC ID | 4082889225 |
|---|---|
| Medicare Enrollment ID | O20111216000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821375940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 179172 (New York) | Primary |
| Provider Name | Mark D Tieman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154494003 PECOS PAC ID: 5991970139 Enrollment ID: I20111216000002 |
| Provider Name | Cindy Demetriou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033592589 PECOS PAC ID: 8426330861 Enrollment ID: I20170120000275 |
Dr Marc Allen Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 358 Veterans Memorial Hwy, Suite 11, Commack, NY 11725 Phone: 631-543-8844 Fax: 631-543-8840 | |
Vitality Wellness & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Austin Blvd, Commack, NY 11725 Phone: 914-376-6100 | |
Anna Lerner Angeles Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2171 Jericho Tpke Ste 300, Commack, NY 11725 Phone: 631-670-6701 Fax: 631-670-6704 | |
North Shore Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Commack Rd, Commack, NY 11725 Phone: 631-881-7600 Fax: 631-881-7697 | |
Comprehensive Island Medical Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6080 Jericho Tpke Ste 205, Commack, NY 11725 Phone: 631-486-4834 Fax: 631-486-5029 | |
Carefirst Family Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 353 Veterans Memorial Hwy, Commack, NY 11725 Phone: 631-864-8535 Fax: 631-864-8504 | |
Commack Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2171 Jericho Tpke, Suite 304, Commack, NY 11725 Phone: 631-462-2993 Fax: 631-462-2995 |