| Mjl Medical Healthcare P.c. | |
|
200 Howells Rd Bay Shore NY 11706-5351 | |
| (631) 665-1439 | |
| (631) 665-1383 |
| Full Name | Mjl Medical Healthcare P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Howells Rd, Bay Shore, New York |
| Authorized Official Name and Position | Mark Joseph Lodespoto (PRESIDENT) |
| Authorized Official Contact | 6316651439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mjl Medical Healthcare P.c. 200 Howells Rd Bay Shore NY 11706-5351 Ph: (631) 665-1439 | Mjl Medical Healthcare P.c. 200 Howells Rd Bay Shore NY 11706-5351 Ph: (631) 665-1439 |
| NPI Number | 1982071619 |
|---|---|
| Provider Enumeration Date | 08/28/2015 |
| Last Update Date | 08/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982071619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 171063 (New York) | Primary |
| 208600000X | Surgery | 171063 (New York) | Secondary |
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