Michael Bishai Md, Llc | |
50 Route 25a Smithtown NY 11787-1348 | |
(516) 550-9865 | |
(914) 810-1012 |
Full Name | Michael Bishai Md, Llc |
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Speciality | Internal Medicine |
Location | 50 Route 25a, Smithtown, New York |
Authorized Official Name and Position | Michael Bishai (OWNER) |
Authorized Official Contact | 5165509865 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michael Bishai Md, Llc 5 Beach Rd Massapequa NY 11758-6614 Ph: () - | Michael Bishai Md, Llc 50 Route 25a Smithtown NY 11787-1348 Ph: (516) 550-9865 |
NPI Number | 1730609827 |
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Provider Enumeration Date | 06/21/2017 |
Last Update Date | 02/04/2024 |
Medicare PECOS PAC ID | 1153693254 |
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Medicare Enrollment ID | O20170824001735 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730609827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Dmitry Konsky |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1720085061 PECOS PAC ID: 8820900251 Enrollment ID: I20031104000132 |
Provider Name | Michael Bishai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942409891 PECOS PAC ID: 3173611514 Enrollment ID: I20071119000004 |
Provider Name | Carole R Capparelli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083790364 PECOS PAC ID: 0345306353 Enrollment ID: I20090226000566 |
Provider Name | Roshini Kurian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649418062 PECOS PAC ID: 1456575588 Enrollment ID: I20160722000131 |
Provider Name | Gina Nicolas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790259810 PECOS PAC ID: 4789922642 Enrollment ID: I20190219001969 |
Provider Name | Samantha Palladino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225693807 PECOS PAC ID: 0143558163 Enrollment ID: I20190828002238 |
Provider Name | Ruby Ezra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699088898 PECOS PAC ID: 3173853397 Enrollment ID: I20191001000821 |
Provider Name | Crystal Nevins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801047469 PECOS PAC ID: 0345651949 Enrollment ID: I20201203001841 |
Provider Name | Michele L Brunner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306451687 PECOS PAC ID: 3375951361 Enrollment ID: I20210412001357 |
Provider Name | Tijuana Temple |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881369486 PECOS PAC ID: 2466843990 Enrollment ID: I20211216002940 |
Provider Name | Seena Varghese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942962709 PECOS PAC ID: 7810384781 Enrollment ID: I20220422001118 |
Raul R. Trinchet, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 285 Middle Country Road, Suite Ll-2, Smithtown, NY 11787 Phone: 631-979-4541 Fax: 631-979-4546 | |
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