Medical House Calls Of The North Fork, Pllc | |
57190 Main Rd Southold NY 11971-4750 | |
(631) 626-1006 | |
(631) 477-6219 |
Full Name | Medical House Calls Of The North Fork, Pllc |
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Speciality | Clinic/Center |
Location | 57190 Main Rd, Southold, New York |
Authorized Official Name and Position | Robert Bramante (OWNER) |
Authorized Official Contact | 6316261006 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical House Calls Of The North Fork, Pllc 57190 Main Rd Southold NY 11971-4750 Ph: (631) 626-1006 | Medical House Calls Of The North Fork, Pllc 57190 Main Rd Southold NY 11971-4750 Ph: (631) 626-1006 |
NPI Number | 1083009476 |
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Provider Enumeration Date | 04/02/2015 |
Last Update Date | 05/17/2024 |
Medicare PECOS PAC ID | 3870895915 |
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Medicare Enrollment ID | O20160107000283 |
Identifier | Type | State | Issuer |
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1083009476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 216602 (New York) | Primary |
Provider Name | David Gordon Hochman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558339614 PECOS PAC ID: 7113900143 Enrollment ID: I20040610001300 |
Provider Name | Herbert Masser |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285781310 PECOS PAC ID: 8426129479 Enrollment ID: I20080618000403 |
Provider Name | Steven Sattler |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1588801559 PECOS PAC ID: 4880743384 Enrollment ID: I20090512000357 |
Provider Name | Deidre F Sargent |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114165628 PECOS PAC ID: 9830223767 Enrollment ID: I20100814000036 |
Provider Name | Robert M Bramante |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1558520205 PECOS PAC ID: 2769506641 Enrollment ID: I20100830000345 |
Provider Name | Marcia Sheldon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932492576 PECOS PAC ID: 3577740190 Enrollment ID: I20110608000558 |
Provider Name | Gary A Despres |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639380892 PECOS PAC ID: 2769635564 Enrollment ID: I20130103000156 |
Provider Name | Nadja Louis Jacques |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982852497 PECOS PAC ID: 1254587223 Enrollment ID: I20131017000546 |
Provider Name | Elaine E Toth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013325547 PECOS PAC ID: 3476774019 Enrollment ID: I20141023000248 |
Provider Name | Melissa Clemens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699111013 PECOS PAC ID: 0840430062 Enrollment ID: I20150119000574 |
Provider Name | Beverley J Roberts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720367568 PECOS PAC ID: 2567789977 Enrollment ID: I20150324001440 |
Provider Name | Charles Wells |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871921445 PECOS PAC ID: 2264747088 Enrollment ID: I20150821014104 |
Provider Name | Alyssa Oliver |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932246139 PECOS PAC ID: 9638461999 Enrollment ID: I20160706001755 |
Provider Name | Carrie P Hofer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285841320 PECOS PAC ID: 0547547002 Enrollment ID: I20170510001531 |
Provider Name | Cynthia Robbs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457874786 PECOS PAC ID: 0749554798 Enrollment ID: I20170914002974 |
Provider Name | Andean Wills |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568614022 PECOS PAC ID: 3870841208 Enrollment ID: I20180801002763 |
Provider Name | Jaclyn M Nelson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801392683 PECOS PAC ID: 4082963996 Enrollment ID: I20180824001831 |
Provider Name | Timothy R Dackow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144700741 PECOS PAC ID: 6406107002 Enrollment ID: I20180920002132 |
Provider Name | Nataliia Vasylchuk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538641139 PECOS PAC ID: 1254683469 Enrollment ID: I20181016001035 |
Provider Name | Celeste Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164996039 PECOS PAC ID: 8628317732 Enrollment ID: I20190307003028 |
Provider Name | Patricia A Perino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932668381 PECOS PAC ID: 6709126790 Enrollment ID: I20190329001527 |
Provider Name | Abel Henry Saturne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528526332 PECOS PAC ID: 7517209257 Enrollment ID: I20190430001348 |
Provider Name | Nichole L Rockowitz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689834525 PECOS PAC ID: 3577899327 Enrollment ID: I20190731002593 |
Provider Name | Petal Martinez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770041279 PECOS PAC ID: 0042541518 Enrollment ID: I20191015000341 |
Provider Name | Katharine A Womack |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902438930 PECOS PAC ID: 4981035102 Enrollment ID: I20200504000080 |
Provider Name | Kathleen Rene |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053947317 PECOS PAC ID: 3072944149 Enrollment ID: I20200506001057 |
Provider Name | Lillian Ann Blaszcyk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184239014 PECOS PAC ID: 7719307107 Enrollment ID: I20201023003046 |
Provider Name | Destiny Seay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518322361 PECOS PAC ID: 2668861840 Enrollment ID: I20211109001779 |
East End Physician Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44210 County Rd. 48, Southold, NY 11971 Phone: 631-765-4150 Fax: 631-765-4688 | |
Professional Limited Liability Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Ackerly Pond Lane, Southold, NY 11971 Phone: 631-765-1414 Fax: 631-765-1428 |