| Pk Medical, Pllc | |
|
Excel At Woodbury 8533 Jericho Turnpile Woodbury NY 11797-1804 | |
| (516) 692-4100 | |
| (516) 692-7571 |
| Full Name | Pk Medical, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | Excel At Woodbury, Woodbury, New York |
| Authorized Official Name and Position | Petros Karamanlakis (OWNER) |
| Authorized Official Contact | 8006552656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pk Medical, Pllc Po Box 321 Huntington NY 11743-0321 Ph: (800) 655-2656 | Pk Medical, Pllc Excel At Woodbury 8533 Jericho Turnpile Woodbury NY 11797-1804 Ph: (516) 692-4100 |
| NPI Number | 1811401128 |
|---|---|
| Provider Enumeration Date | 11/22/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 9931463338 |
|---|---|
| Medicare Enrollment ID | O20180511001417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811401128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Petros Karamanlakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629155908 PECOS PAC ID: 0244331296 Enrollment ID: I20070720000709 |
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