| Medical Services Of Setauket, P.c. | |
|
3400 Nesconset Hwy Ste 101 East Setauket NY 11733-3327 | |
| (631) 751-8700 | |
| (631) 751-5971 |
| Full Name | Medical Services Of Setauket, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 Nesconset Hwy Ste 101, East Setauket, New York |
| Authorized Official Name and Position | Michele L Cusack (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Contact | 5163216058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Services Of Setauket, P.c. 3400 Nesconset Hwy Ste 101 East Setauket NY 11733-3327 Ph: (631) 751-8700 | Medical Services Of Setauket, P.c. 3400 Nesconset Hwy Ste 101 East Setauket NY 11733-3327 Ph: (631) 751-8700 |
| NPI Number | 1861026106 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 07/08/2022 |
| Medicare PECOS PAC ID | 7517398001 |
|---|---|
| Medicare Enrollment ID | O20200518001610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861026106 | NPI | - | NPPES |
| Provider Name | Margaret A Cariola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003944943 PECOS PAC ID: 8820067093 Enrollment ID: I20040927000056 |
| Provider Name | Kristina L Demarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407853526 PECOS PAC ID: 0042316523 Enrollment ID: I20070430000195 |
| Provider Name | Emily Glazer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881765014 PECOS PAC ID: 3577664515 Enrollment ID: I20070720000654 |
| Provider Name | William J Cohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861459208 PECOS PAC ID: 1254437247 Enrollment ID: I20101105000893 |
| Provider Name | Seth E Persky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508823600 PECOS PAC ID: 2567644065 Enrollment ID: I20110304000184 |
| Provider Name | Robert J Baranowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205892205 PECOS PAC ID: 0345422861 Enrollment ID: I20110304000365 |
| Provider Name | Gary R Bernstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407813579 PECOS PAC ID: 5496937930 Enrollment ID: I20110304000548 |
| Provider Name | Howard A Keschner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871551879 PECOS PAC ID: 9032391396 Enrollment ID: I20110308000164 |
| Provider Name | Eugene A Coman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497713887 PECOS PAC ID: 7315122595 Enrollment ID: I20110503000750 |
| Provider Name | Jillian M Fratepietro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427204536 PECOS PAC ID: 6800048547 Enrollment ID: I20121204000343 |
| Provider Name | Eugene Licht |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740423755 PECOS PAC ID: 0648591511 Enrollment ID: I20150603002232 |
| Provider Name | Jenna L Sonnenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447775747 PECOS PAC ID: 9335414911 Enrollment ID: I20171006002801 |
| Provider Name | H Matthew Cohn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437470283 PECOS PAC ID: 5496995102 Enrollment ID: I20180531001041 |
| Provider Name | Neva A Castro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386025385 PECOS PAC ID: 6709130511 Enrollment ID: I20221025001001 |
| Provider Name | Alyssa L Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205554375 PECOS PAC ID: 3173984671 Enrollment ID: I20230801000200 |
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Setauket Medical, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 Technology Dr, Suite 220, East Setauket, NY 11733 Phone: 631-964-9581 Fax: 631-476-9298 |