| Sacred Heart Primary Care Medicine, Pllc | |
|
700 Old Country Rd Ste 105 Plainview NY 11803-4932 | |
| (347) 510-5866 | |
| Not Available |
| Full Name | Sacred Heart Primary Care Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 700 Old Country Rd Ste 105, Plainview, New York |
| Authorized Official Name and Position | Dimitri Ghecas (CO-OWNER) |
| Authorized Official Contact | 5168092500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Heart Primary Care Medicine, Pllc 700 Old Country Rd Ste 105 Plainview NY 11803-4932 Ph: (516) 809-2500 | Sacred Heart Primary Care Medicine, Pllc 700 Old Country Rd Ste 105 Plainview NY 11803-4932 Ph: (347) 510-5866 |
| NPI Number | 1235916255 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 03/07/2024 |
| Medicare PECOS PAC ID | 0244675114 |
|---|---|
| Medicare Enrollment ID | O20240301000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235916255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tricia Ronak Narine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609212190 PECOS PAC ID: 5395966139 Enrollment ID: I20150817001633 |
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