One On One Medical Care, P.c. | |
215 Suydam Ln Bayport NY 11705-2152 | |
(631) 398-9374 | |
(631) 472-3661 |
Full Name | One On One Medical Care, P.c. |
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Speciality | Family Medicine |
Location | 215 Suydam Ln, Bayport, New York |
Authorized Official Name and Position | Anthony N. Donatelli (PRESIDENT) |
Authorized Official Contact | 6313989374 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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One On One Medical Care, P.c. 215 Suydam Ln Bayport NY 11705-2152 Ph: (631) 398-9374 | One On One Medical Care, P.c. 215 Suydam Ln Bayport NY 11705-2152 Ph: (631) 398-9374 |
NPI Number | 1609323351 |
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Provider Enumeration Date | 09/09/2016 |
Last Update Date | 09/09/2016 |
Medicare PECOS PAC ID | 1658634738 |
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Medicare Enrollment ID | O20180425000118 |
Identifier | Type | State | Issuer |
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1609323351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 167827 (New York) | Primary |
Provider Name | Anthony Nicholas Donatelli |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730176793 PECOS PAC ID: 8729011887 Enrollment ID: I20050926000031 |
Lisa Marx, Do, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Montauk Hwy, Suite 3, Bayport, NY 11705 Phone: 631-868-7200 Fax: 631-868-7199 |