| Port Jeff Medical Care, Pc | |
|
410 Hallock Ave Port Jefferson Station NY 11776-1232 | |
| (631) 642-1100 | |
| (631) 642-1190 |
| Full Name | Port Jeff Medical Care, Pc |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 410 Hallock Ave, Port Jefferson Station, New York |
| Authorized Official Name and Position | Robert Mormando (PRESIDENT/CEO) |
| Authorized Official Contact | 6316422025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Jeff Medical Care, Pc 410 Hallock Ave Port Jefferson Station NY 11776-1232 Ph: (631) 642-1100 | Port Jeff Medical Care, Pc 410 Hallock Ave Port Jefferson Station NY 11776-1232 Ph: (631) 642-1100 |
| NPI Number | 1215952072 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215952072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200407 (New York) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | 178674 (New York) | Primary |
Michael W. Mendelson, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5360 Nesconset Hwy Ste B, Port Jefferson Station, NY 11776 Phone: 631-331-3200 Fax: 631-331-3694 | |
Harbor Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 206-202-3956 | |
North Shore Hematology/oncology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-751-3000 Fax: 631-751-0506 | |
North Shore Immediate Medical Care P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Patchogue Rd, Port Jefferson Station, NY 11776 Phone: 631-331-1100 Fax: 631-331-0223 | |
Haven Medical Services, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 Route 112, Port Jefferson Station, NY 11776 Phone: 631-473-3304 Fax: 631-474-1692 | |
Aziz Chaudry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2b Medical Park Drive, Port Jefferson Station, NY 11776 Phone: 631-928-1830 Fax: 631-928-1830 |