| Michael Creta, Do | |
|
290 Hawkins Ave Lake Ronkonkoma NY 11779-9600 | |
| (631) 981-0045 | |
| (631) 981-1117 |
| Full Name | Michael Creta, Do |
|---|---|
| Speciality | Family Medicine |
| Location | 290 Hawkins Ave, Lake Ronkonkoma, New York |
| Authorized Official Name and Position | Michael Creta (DO) |
| Authorized Official Contact | 6319810045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Creta, Do 290 Hawkins Ave Lake Ronkonkoma NY 11779-9600 Ph: (631) 981-0045 | Michael Creta, Do 290 Hawkins Ave Lake Ronkonkoma NY 11779-9600 Ph: (631) 981-0045 |
| NPI Number | 1912024506 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912024506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
North Shore Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Portion Rd, Suite C, Lake Ronkonkoma, NY 11779 Phone: 631-585-5959 | |
Project Samaritan Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Lake Shore Rd, Lake Ronkonkoma, NY 11779 Phone: 631-306-5895 Fax: 718-657-1870 | |
Ismail Ozcan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 95 Church St, Lake Ronkonkoma, NY 11779 Phone: 631-588-6665 Fax: 631-580-5543 | |
Theodore Fried Burford Welch & David Hauer Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 388 Hawkins Ave, Suite 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480 | |
Lake Family Medical Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Portion Rd Ste A, Lake Ronkonkoma, NY 11779 Phone: 631-981-1333 Fax: 631-981-2326 | |
Rakesh Sharma Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Portion Rd, Suite 104, Lake Ronkonkoma, NY 11779 Phone: 631-588-8393 Fax: 631-588-2312 |