North Island Medical Pllc | |
128 Malverne Ave Malverne NY 11565-1442 | |
(718) 252-4765 | |
Not Available |
Full Name | North Island Medical Pllc |
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Speciality | Clinic/Center |
Location | 128 Malverne Ave, Malverne, New York |
Authorized Official Name and Position | Cesare Saponieri (PRESIDENT) |
Authorized Official Contact | 7182524765 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Island Medical Pllc 128 Malverne Ave Malverne NY 11565-1442 Ph: () - | North Island Medical Pllc 128 Malverne Ave Malverne NY 11565-1442 Ph: (718) 252-4765 |
NPI Number | 1124890298 |
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Provider Enumeration Date | 10/23/2023 |
Last Update Date | 10/23/2023 |
Medicare PECOS PAC ID | 6406205335 |
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Medicare Enrollment ID | O20231218001186 |
Identifier | Type | State | Issuer |
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1124890298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Cesare Saponieri |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760436885 PECOS PAC ID: 8022005008 Enrollment ID: I20040429001606 |
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