Mid Nassau Medical Care For Kidz, Llc | |
530 Old Country Rd Suite 1b Westbury NY 11590-4500 | |
(516) 333-7272 | |
(516) 333-2519 |
Full Name | Mid Nassau Medical Care For Kidz, Llc |
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Speciality | General Practice |
Location | 530 Old Country Rd, Westbury, New York |
Authorized Official Name and Position | Steven Perrick (M.D./PARTNER) |
Authorized Official Contact | 5163337272 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mid Nassau Medical Care For Kidz, Llc 530 Old Country Rd Suite 1b Westbury NY 11590-4500 Ph: (516) 333-7272 | Mid Nassau Medical Care For Kidz, Llc 530 Old Country Rd Suite 1b Westbury NY 11590-4500 Ph: (516) 333-7272 |
NPI Number | 1710356043 |
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Provider Enumeration Date | 09/16/2015 |
Last Update Date | 09/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710356043 | NPI | - | NPPES |
0218647 | Medicaid | NY | |
8307806 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (New York) | Primary |
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