| 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 |
|---|---|
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 12/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841531142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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 | |