| Michael Salamatbad D.o. Pc | |
|
212 Middle Neck Rd Suite 7 Great Neck NY 11021-1136 | |
| (516) 439-5060 | |
| (516) 869-4247 |
| Full Name | Michael Salamatbad D.o. Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 212 Middle Neck Rd, Great Neck, New York |
| Authorized Official Name and Position | Michael Salamatbad (PRESIDENT) |
| Authorized Official Contact | 5164395060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Salamatbad D.o. Pc 212 Middle Neck Rd Suite 7 Great Neck NY 11021-1136 Ph: (516) 439-5060 | Michael Salamatbad D.o. Pc 212 Middle Neck Rd Suite 7 Great Neck NY 11021-1136 Ph: (516) 439-5060 |
| NPI Number | 1689910911 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 12/13/2012 |
| Medicare PECOS PAC ID | 0648419473 |
|---|---|
| Medicare Enrollment ID | O20130626000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689910911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 249405 (New York) | Primary |
| Provider Name | Michael Salamatbad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316104086 PECOS PAC ID: 3274683388 Enrollment ID: I20090611000403 |
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