Massapequa Medical Pc | |
727 N Broadway Suite A1 Massapequa NY 11758-2348 | |
(516) 798-8090 | |
(516) 795-3606 |
Full Name | Massapequa Medical Pc |
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Speciality | Clinic/center - Multi-specialty |
Location | 727 N Broadway, Massapequa, New York |
Authorized Official Name and Position | Marwan Hammoud (PRESIDENT) |
Authorized Official Contact | 5167988090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Massapequa Medical Pc 727 N Broadway Suite A1 Massapequa NY 11758-2348 Ph: (516) 798-8090 | Massapequa Medical Pc 727 N Broadway Suite A1 Massapequa NY 11758-2348 Ph: (516) 798-8090 |
NPI Number | 1609144096 |
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Provider Enumeration Date | 12/13/2011 |
Last Update Date | 12/13/2011 |
Identifier | Type | State | Issuer |
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1609144096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 233296 (New York) | Primary |
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