North Shore Primary Care Medical Associates, Pc | |
1000 Northern Blvd Suite 230 Great Neck NY 11021-5312 | |
(516) 627-4433 | |
(516) 627-0552 |
Full Name | North Shore Primary Care Medical Associates, Pc |
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Speciality | Internal Medicine |
Location | 1000 Northern Blvd, Great Neck, New York |
Authorized Official Name and Position | David Edelson (PRESIDENT) |
Authorized Official Contact | 5166274433 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Shore Primary Care Medical Associates, Pc 1000 Northern Blvd Suite 230 Great Neck NY 11021-5312 Ph: (516) 627-4433 | North Shore Primary Care Medical Associates, Pc 1000 Northern Blvd Suite 230 Great Neck NY 11021-5312 Ph: (516) 627-4433 |
NPI Number | 1548287410 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 02/04/2015 |
Medicare PECOS PAC ID | 1456383165 |
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Medicare Enrollment ID | O20050901000948 |
Identifier | Type | State | Issuer |
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1548287410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 15517801 (New York) | Primary |
Provider Name | Dianne Carol Hanson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336285279 PECOS PAC ID: 4880686724 Enrollment ID: I20040331001657 |
Provider Name | Geraldine Lanman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568417483 PECOS PAC ID: 1254394729 Enrollment ID: I20041105000274 |
Provider Name | William M Klein |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1659359578 PECOS PAC ID: 8123050564 Enrollment ID: I20050907000059 |
Provider Name | David G Edelson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568440485 PECOS PAC ID: 1355373069 Enrollment ID: I20050907000078 |
Provider Name | George J Goldman |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1841255783 PECOS PAC ID: 9638277601 Enrollment ID: I20070614000587 |
Provider Name | Hillary Klein Beberman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699726802 PECOS PAC ID: 7911985072 Enrollment ID: I20090508000260 |
Provider Name | Josephine Tutrani |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1386783546 PECOS PAC ID: 9234354580 Enrollment ID: I20140701000390 |
Provider Name | Kimberlee Barresi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467994608 PECOS PAC ID: 8921388679 Enrollment ID: I20161215000134 |
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