Nassau Immed Med Care Pllc | |
465 Willis Ave Williston Park NY 11596-1724 | |
(516) 294-3535 | |
(516) 294-6451 |
Full Name | Nassau Immed Med Care Pllc |
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Speciality | Internal Medicine |
Location | 465 Willis Ave, Williston Park, New York |
Authorized Official Name and Position | Susan P. Welgrin (MEMBER) |
Authorized Official Contact | 5162943535 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nassau Immed Med Care Pllc 465 Willis Ave Williston Park NY 11596-1724 Ph: (516) 294-3535 | Nassau Immed Med Care Pllc 465 Willis Ave Williston Park NY 11596-1724 Ph: (516) 294-3535 |
NPI Number | 1255429254 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 03/17/2008 |
Medicare PECOS PAC ID | 6305928953 |
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Medicare Enrollment ID | O20080205000003 |
Identifier | Type | State | Issuer |
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1255429254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 187440 (New York) | Primary |
Provider Name | Susan P Welgrin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518970888 PECOS PAC ID: 5890792568 Enrollment ID: I20061024000021 |
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