| North Nassau Endocrinology And Diabetes Pllc | |
|
1000 Northern Blvd Suite 240 Great Neck NY 11021-5312 | |
| (516) 829-0802 | |
| (516) 487-9433 |
| Full Name | North Nassau Endocrinology And Diabetes Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Northern Blvd, Great Neck, New York |
| Authorized Official Name and Position | Jonathan Kaplan (CEO, PRESIDENT) |
| Authorized Official Contact | 5168290802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Nassau Endocrinology And Diabetes Pllc 1000 Northern Blvd Suite 240 Great Neck NY 11021-5312 Ph: (516) 829-0802 | North Nassau Endocrinology And Diabetes Pllc 1000 Northern Blvd Suite 240 Great Neck NY 11021-5312 Ph: (516) 829-0802 |
| NPI Number | 1710033931 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1456458850 |
|---|---|
| Medicare Enrollment ID | O20070519000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710033931 | NPI | - | NPPES |
| 01875938 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 203765 (New York) | Primary |
| Provider Name | Jonathan Kaplan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285713487 PECOS PAC ID: 4486603008 Enrollment ID: I20050120000540 |
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