| Medical 360 House Call, Pllc | |
|
185 Old Country Rd Ste 7 Riverhead NY 11901-2121 | |
| (631) 494-2215 | |
| Not Available |
| Full Name | Medical 360 House Call, Pllc |
|---|---|
| Speciality | Clinical Medical Laboratory |
| Location | 185 Old Country Rd Ste 7, Riverhead, New York |
| Authorized Official Name and Position | Steven K Samuel (PHYSICIAN) |
| Authorized Official Contact | 5163120231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical 360 House Call, Pllc 20 Amherst Rd Albertson NY 11507-2202 Ph: (516) 351-2213 | Medical 360 House Call, Pllc 185 Old Country Rd Ste 7 Riverhead NY 11901-2121 Ph: (631) 494-2215 |
| NPI Number | 1881119634 |
|---|---|
| Provider Enumeration Date | 08/12/2017 |
| Last Update Date | 01/10/2022 |
| Medicare PECOS PAC ID | 0749555639 |
|---|---|
| Medicare Enrollment ID | O20220912000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881119634 | NPI | - | NPPES |
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