| Optimum Mens Health Llc | |
|
1056 W Jericho Tpke Smithtown NY 11787-3212 | |
| (631) 486-9100 | |
| (631) 486-9102 |
| Full Name | Optimum Mens Health Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1056 W Jericho Tpke, Smithtown, New York |
| Authorized Official Name and Position | Joseph Rosario (OWNER/MANAGING PARTNER) |
| Authorized Official Contact | 6314869100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Mens Health Llc 1056 W Jericho Tpke Smithtown NY 11787-3212 Ph: (631) 486-9100 | Optimum Mens Health Llc 1056 W Jericho Tpke Smithtown NY 11787-3212 Ph: (631) 486-9100 |
| NPI Number | 1497311047 |
|---|---|
| Provider Enumeration Date | 05/18/2019 |
| Last Update Date | 05/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497311047 | NPI | - | NPPES |
| 1346682739 | Medicaid | NY | |
| 1427512763 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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