| Medihealth Medical Pc | |
|
200 E Main St Patchogue NY 11772-3159 | |
| (631) 654-9400 | |
| (631) 654-8616 |
| Full Name | Medihealth Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 200 E Main St, Patchogue, New York |
| Authorized Official Name and Position | Ahmed Elfiky (PRESIDENT) |
| Authorized Official Contact | 6316549400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medihealth Medical Pc 200 E Main St Patchogue NY 11772-3159 Ph: (631) 654-9400 | Medihealth Medical Pc 200 E Main St Patchogue NY 11772-3159 Ph: (631) 654-9400 |
| NPI Number | 1811199151 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 8224004320 |
|---|---|
| Medicare Enrollment ID | O20040909000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811199151 | NPI | - | NPPES |
| Provider Name | Ahmed Elfiky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568551075 PECOS PAC ID: 9638147978 Enrollment ID: I20040923000663 |
| Provider Name | Alicia U Camacho |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417987538 PECOS PAC ID: 4587670138 Enrollment ID: I20060306000658 |
| Provider Name | Rohit Gautam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780994194 PECOS PAC ID: 8527232859 Enrollment ID: I20200225002557 |
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