| North Shore Medical Group | |
|
201 Portion Rd Suite C Lake Ronkonkoma NY 11779-4172 | |
| (631) 585-5959 | |
| Not Available |
| Full Name | North Shore Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Portion Rd, Lake Ronkonkoma, New York |
| Authorized Official Name and Position | Janet Street (ADMINISTRATOR) |
| Authorized Official Contact | 6313513703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Medical Group 201 Portion Rd Suite C Lake Ronkonkoma NY 11779-4172 Ph: (631) 585-5959 | North Shore Medical Group 201 Portion Rd Suite C Lake Ronkonkoma NY 11779-4172 Ph: (631) 585-5959 |
| NPI Number | 1003121013 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 08/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003121013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Project Samaritan Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Lake Shore Rd, Lake Ronkonkoma, NY 11779 Phone: 631-306-5895 Fax: 718-657-1870 | |
Ismail Ozcan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 95 Church St, Lake Ronkonkoma, NY 11779 Phone: 631-588-6665 Fax: 631-580-5543 | |
Theodore Fried Burford Welch & David Hauer Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 388 Hawkins Ave, Suite 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480 | |
Lake Family Medical Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Portion Rd Ste A, Lake Ronkonkoma, NY 11779 Phone: 631-981-1333 Fax: 631-981-2326 | |
Rakesh Sharma Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Portion Rd, Suite 104, Lake Ronkonkoma, NY 11779 Phone: 631-588-8393 Fax: 631-588-2312 | |
Michael Creta, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-981-0045 Fax: 631-981-1117 |