| Middle Country Family Medicine P C | |
|
2539 Middle Country Rd Suite 5 Centereach NY 11720-3551 | |
| (631) 580-1740 | |
| (631) 580-1955 |
| Full Name | Middle Country Family Medicine P C |
|---|---|
| Speciality | Family Medicine |
| Location | 2539 Middle Country Rd, Centereach, New York |
| Authorized Official Name and Position | Michael L. Randall (PRESIDENT) |
| Authorized Official Contact | 6315801740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Country Family Medicine P C 2539 Middle Country Rd Suite 5 Centereach NY 11720-3551 Ph: (631) 580-1740 | Middle Country Family Medicine P C 2539 Middle Country Rd Suite 5 Centereach NY 11720-3551 Ph: (631) 580-1740 |
| NPI Number | 1659542827 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659542827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200458 (New York) | Primary |
Centereach Medical Office P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Eastwood Blvd, Centereach, NY 11720 Phone: 631-467-3600 Fax: 718-426-1100 | |
Centereach Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Eastwood Blvd, Centereach, NY 11720 Phone: 631-461-3600 Fax: 631-467-3755 | |
Alan Lucks, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Mark Tree Rd, Centereach, NY 11720 Phone: 631-472-2777 |