Md 365 Medical Care Pllc | |
800 Montauk Hwy Ste 18 Shirley NY 11967-2128 | |
(631) 772-4646 | |
(631) 772-2495 |
Full Name | Md 365 Medical Care Pllc |
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Speciality | Family Medicine |
Location | 800 Montauk Hwy Ste 18, Shirley, New York |
Authorized Official Name and Position | Deepu Alexander (M.D) |
Authorized Official Contact | 6317724646 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Md 365 Medical Care Pllc 800-18 Montauk Highway Shirley NY 11967-2128 Ph: (631) 772-4646 | Md 365 Medical Care Pllc 800 Montauk Hwy Ste 18 Shirley NY 11967-2128 Ph: (631) 772-4646 |
NPI Number | 1841531142 |
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Provider Enumeration Date | 03/12/2013 |
Last Update Date | 12/06/2019 |
Medicare PECOS PAC ID | 2365784113 |
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Medicare Enrollment ID | O20190429000735 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841531142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Satheesh Joseph |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1033133343 PECOS PAC ID: 4789684598 Enrollment ID: I20061229000318 |
Provider Name | Deepu Alexander |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275728560 PECOS PAC ID: 9830266907 Enrollment ID: I20080916000467 |
Provider Name | Jereesh T John |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922443829 PECOS PAC ID: 8224345962 Enrollment ID: I20150914001457 |
Provider Name | Gianhna Altagracia Gil Sanchez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194046755 PECOS PAC ID: 1951529452 Enrollment ID: I20160822000761 |
Provider Name | Kimberly P Barnaby |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952783045 PECOS PAC ID: 3678827458 Enrollment ID: I20181114000981 |
Provider Name | Zena Esther Sara Joseph |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881822906 PECOS PAC ID: 7012248347 Enrollment ID: I20191017000454 |
Provider Name | Michelle Darlin Maurina |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174172803 PECOS PAC ID: 7911239058 Enrollment ID: I20191023000678 |
Provider Name | Blessan Thomas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336597103 PECOS PAC ID: 3870889256 Enrollment ID: I20191024000283 |
Provider Name | Natalie Radino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184000150 PECOS PAC ID: 6305278987 Enrollment ID: I20191120001162 |
Provider Name | Nathaniel A Crow |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235663568 PECOS PAC ID: 4082024039 Enrollment ID: I20201103002611 |
Provider Name | David L Portnoy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619402559 PECOS PAC ID: 9133464464 Enrollment ID: I20201130001418 |
Anthony Tomasso, Do Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Coraci Blvd, Ste #4, Shirley, NY 11967 Phone: 631-281-8670 Fax: 631-281-8242 | |
Kumar S Mandal Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Coraci Blvd, Shirley, NY 11967 Phone: 631-281-2600 Fax: 631-281-6732 | |
South Brookhaven Health Center East Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Montauk Hwy, Shirley, NY 11967 Phone: 631-852-1000 Fax: 631-852-1009 |