North Fork Endocrinology Pc | |
1149 Old Country Rd Suite C1 Riverhead NY 11901-2057 | |
(631) 369-3333 | |
(631) 369-9568 |
Full Name | North Fork Endocrinology Pc |
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Speciality | Internal Medicine |
Location | 1149 Old Country Rd, Riverhead, New York |
Authorized Official Name and Position | Naim Abrar (PRESIDENT) |
Authorized Official Contact | 6313693333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Fork Endocrinology Pc 1149 Old Country Rd Suite 1c Riverhead NY 11901-2057 Ph: (631) 369-3333 | North Fork Endocrinology Pc 1149 Old Country Rd Suite C1 Riverhead NY 11901-2057 Ph: (631) 369-3333 |
NPI Number | 1790845097 |
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Provider Enumeration Date | 12/10/2006 |
Last Update Date | 10/03/2016 |
Medicare PECOS PAC ID | 0042592016 |
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Medicare Enrollment ID | O20170127000147 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790845097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 204491 (New York) | Primary |
Provider Name | Naim Abrar |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1790702355 PECOS PAC ID: 3971627696 Enrollment ID: I20100902000354 |
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