| North Coast Medical Associates Pllc | |
|
415 Port Washington Blvd Port Washington NY 11050-4201 | |
| (516) 883-0218 | |
| (516) 767-0894 |
| Full Name | North Coast Medical Associates Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 415 Port Washington Blvd, Port Washington, New York |
| Authorized Official Name and Position | Anna Lizza Siasoco (OWNER) |
| Authorized Official Contact | 5168830218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Coast Medical Associates Pllc 415 Port Washington Blvd Port Washington NY 11050-4201 Ph: (516) 883-0218 | North Coast Medical Associates Pllc 415 Port Washington Blvd Port Washington NY 11050-4201 Ph: (516) 883-0218 |
| NPI Number | 1821294711 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 02/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821294711 | NPI | - | NPPES |
| 3363P1 | Other | NY | BLUE CROSS BLUE SHIELD |
| 6C0603 | Other | NY | HEALTH NET OF NORTHEAST |
| SA6459 | Other | NY | ATLANTIS |
| P3698445 | Other | NY | OXFORD |
| 5880458 | Other | NY | CIGNA |
| 5995775 | Other | NY | GHI |
| AA73558A | Other | NY | MDNY |
| 286811P | Other | NM | HIP |
| 9412517 | Other | NY | PHCS |
| 051903998 | Other | NY | MAGNACARE |
| 2554307 | Other | NY | UHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 236459 (New York) | Primary |
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