| Physicians Private Practice, Pllc | |
|
222 Middle Country Rd Suite 103 Smithtown NY 11787-2871 | |
| (631) 265-2222 | |
| (631) 265-2227 |
| Full Name | Physicians Private Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 222 Middle Country Rd, Smithtown, New York |
| Authorized Official Name and Position | Martha Tsarkalis (PHYSICIAN) |
| Authorized Official Contact | 6312652222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Private Practice, Pllc 222 Middle Country Rd Suite 103 Smithtown NY 11787-2871 Ph: (631) 265-2222 | Physicians Private Practice, Pllc 222 Middle Country Rd Suite 103 Smithtown NY 11787-2871 Ph: (631) 265-2222 |
| NPI Number | 1730408923 |
|---|---|
| Provider Enumeration Date | 05/27/2010 |
| Last Update Date | 05/27/2010 |
| Medicare PECOS PAC ID | 9436274776 |
|---|---|
| Medicare Enrollment ID | O20100910000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730408923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 251788 (New York) | Primary |
| 207R00000X | Internal Medicine | 250691 (New York) | Secondary |
| Provider Name | Martha Tsarkalis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235377276 PECOS PAC ID: 4183781974 Enrollment ID: I20090323000319 |
| Provider Name | Sophia Boulukos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922259878 PECOS PAC ID: 8921139635 Enrollment ID: I20100624000356 |
Raul R. Trinchet, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 285 Middle Country Road, Suite Ll-2, Smithtown, NY 11787 Phone: 631-979-4541 Fax: 631-979-4546 | |
Pilip Medical Treatments P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Smithtown Byp Ste 305, Smithtown, NY 11787 Phone: 631-656-9040 Fax: 631-648-9661 | |
Omni Medical 360 Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Maple Ave, Smithtown, NY 11787 Phone: 631-813-7788 | |
Optimum Care Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321 E Main St Ste 1, Smithtown, NY 11787 Phone: 631-265-4606 Fax: 631-265-4675 | |
Long Island Gastroenterology And Liver Disease P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 48 Route 25a Ste 307, Smithtown, NY 11787 Phone: 631-265-0062 Fax: 631-265-0590 | |
Infectious Disease Medical Practice Of Ny Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 48 Route 25a, Suite 308, Smithtown, NY 11787 Phone: 631-864-6111 Fax: 631-864-5004 | |
Vp Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Gilbert Ave, Smithtown, NY 11787 Phone: 347-987-1168 |