| North Shore Lij Physicians Group Pc | |
|
145 Community Dr Great Neck NY 11021-5502 | |
| (516) 465-8182 | |
| Not Available |
| Full Name | North Shore Lij Physicians Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 145 Community Dr, Great Neck, New York |
| Authorized Official Name and Position | Robert S Shapiro (SR VP & CFO) |
| Authorized Official Contact | 5164658182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Lij Physicians Group Pc 145 Community Dr Great Neck NY 11021-5502 Ph: () - | North Shore Lij Physicians Group Pc 145 Community Dr Great Neck NY 11021-5502 Ph: (516) 465-8182 |
| NPI Number | 1073818308 |
|---|---|
| Provider Enumeration Date | 01/18/2011 |
| Last Update Date | 07/08/2022 |
| Medicare PECOS PAC ID | 6204093248 |
|---|---|
| Medicare Enrollment ID | O20120203000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073818308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark H Gardenswartz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326063215 PECOS PAC ID: 7618884511 Enrollment ID: I20040715000594 |
| Provider Name | Leonid Poretsky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962491811 PECOS PAC ID: 0042284572 Enrollment ID: I20040821000001 |
| Provider Name | Paul J Mattis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114066792 PECOS PAC ID: 4688754633 Enrollment ID: I20080103000627 |
| Provider Name | Karen M Kostroff |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1083762751 PECOS PAC ID: 2466631767 Enrollment ID: I20110119000308 |
| Provider Name | Kristian R Olvet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265677769 PECOS PAC ID: 2466624119 Enrollment ID: I20111003000029 |
| Provider Name | Carla M Gabris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073902375 PECOS PAC ID: 8022312164 Enrollment ID: I20160210000181 |
| Provider Name | Anna N George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033231980 PECOS PAC ID: 0446647648 Enrollment ID: I20220428000447 |
Soundview Medical Group, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Northern Blvd, Suite 175, Great Neck, NY 11021 Phone: 516-439-5223 | |
Hoorbod Delshadfar Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 287 Northern Blvd Ste 108, Great Neck, NY 11021 Phone: 516-482-0500 | |
Shirley Mathew Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 287 Northern Blvd, Suite 108, Great Neck, NY 11021 Phone: 516-829-8777 Fax: 516-829-7926 | |
Long Island Medical And Gastroenterology Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 192 E Shore Rd, Great Neck, NY 11023 Phone: 516-487-4500 Fax: 516-487-7439 | |
Stephen Silverman, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 Northern Blvd, Great Neck, NY 11021 Phone: 616-482-4060 Fax: 516-482-4063 | |
Gn Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Northern Blvd, Suite# 3b, Great Neck, NY 11021 Phone: 516-423-2429 Fax: 917-386-2691 |