| |
1521 Straight Path Wyandanch NY 11798-3414 | |
(631) 643-3800 | |
(631) 253-4292 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1521 Straight Path, Wyandanch, New York |
Authorized Official Name and Position | Dinesh Sethi (PRESIDENT) |
Authorized Official Contact | 6316433800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1521 Straight Path Wyandanch NY 11798-3414 Ph: (631) 643-3800 | 1521 Straight Path Wyandanch NY 11798-3414 Ph: (631) 643-3800 |
NPI Number | 1326392317 |
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Provider Enumeration Date | 10/30/2012 |
Last Update Date | 08/04/2023 |
Medicare PECOS PAC ID | 3678703998 |
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Medicare Enrollment ID | O20140307000092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326392317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Dinesh Sethi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194763920 PECOS PAC ID: 0244292407 Enrollment ID: I20041029000753 |
Provider Name | Manish Chadha |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992903264 PECOS PAC ID: 1254428626 Enrollment ID: I20090206000565 |
Provider Name | Tracy G Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316354921 PECOS PAC ID: 9739403205 Enrollment ID: I20150112001215 |
Provider Name | Esther Sauveur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457749020 PECOS PAC ID: 0143540500 Enrollment ID: I20150526002483 |
Provider Name | Mili Biju |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558882522 PECOS PAC ID: 3971873811 Enrollment ID: I20170725003347 |
Provider Name | Regina M Young |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235521477 PECOS PAC ID: 1456617430 Enrollment ID: I20171107002436 |
Provider Name | Alicia L Myrie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265887053 PECOS PAC ID: 5496098006 Enrollment ID: I20190523000480 |
Provider Name | Ruby Ezra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699088898 PECOS PAC ID: 3173853397 Enrollment ID: I20191001000821 |
Provider Name | Iftikhar Cheema |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912556077 PECOS PAC ID: 0042621583 Enrollment ID: I20201204001175 |
Provider Name | Madelyn Delgado Borges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306453683 PECOS PAC ID: 7810307782 Enrollment ID: I20210513002995 |
Provider Name | Maxiana Louis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760152912 PECOS PAC ID: 3971995945 Enrollment ID: I20220125001489 |
Provider Name | Stephanie Lapice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043581192 PECOS PAC ID: 8527411735 Enrollment ID: I20240124001392 |
Skope Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1537 Straight Path, Ste 102, Wyandanch, NY 11798 Phone: 631-253-0270 |