| North Central Group Llc | |
|
200 N Central Ave Valley Stream NY 11580-3102 | |
| (516) 592-9888 | |
| Not Available |
| Full Name | North Central Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 N Central Ave, Valley Stream, New York |
| Authorized Official Name and Position | Brent Dye (BILLING MANAGER) |
| Authorized Official Contact | 7867027222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Central Group Llc 200 N Central Ave Valley Stream NY 11580-3102 Ph: (718) 321-0670 | North Central Group Llc 200 N Central Ave Valley Stream NY 11580-3102 Ph: (516) 592-9888 |
| NPI Number | 1225420458 |
|---|---|
| Provider Enumeration Date | 02/25/2015 |
| Last Update Date | 09/24/2020 |
| Medicare PECOS PAC ID | 2961763982 |
|---|---|
| Medicare Enrollment ID | O20180307001404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225420458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Kaumudi Somnay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568457653 PECOS PAC ID: 7012996556 Enrollment ID: I20040717000123 |
| Provider Name | Linjun Xie |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639242928 PECOS PAC ID: 3577730845 Enrollment ID: I20120201000622 |
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