Preferred Professional Medical Care Pc | |
3505 Veterans Memorial Hwy Suite C Ronkonkoma NY 11779-7640 | |
(631) 676-7656 | |
(631) 676-7648 |
Full Name | Preferred Professional Medical Care Pc |
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Speciality | Internal Medicine |
Location | 3505 Veterans Memorial Hwy, Ronkonkoma, New York |
Authorized Official Name and Position | Wei K Kao (PRESIDENT) |
Authorized Official Contact | 6316767656 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Preferred Professional Medical Care Pc 3505 Veterans Memorial Hwy Suite C Ronkonkoma NY 11779-7640 Ph: (631) 676-7656 | Preferred Professional Medical Care Pc 3505 Veterans Memorial Hwy Suite C Ronkonkoma NY 11779-7640 Ph: (631) 676-7656 |
NPI Number | 1083916670 |
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Provider Enumeration Date | 12/02/2010 |
Last Update Date | 10/05/2012 |
Medicare PECOS PAC ID | 9739359027 |
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Medicare Enrollment ID | O20110824000026 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083916670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Dmitry Konsky |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1720085061 PECOS PAC ID: 8820900251 Enrollment ID: I20031104000132 |
Provider Name | Benson Onghai |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1366499501 PECOS PAC ID: 2264422179 Enrollment ID: I20040513000847 |
Provider Name | Meenal Shukla |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508806076 PECOS PAC ID: 5991730160 Enrollment ID: I20050927001326 |
Provider Name | Muhammad Noor |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1164628376 PECOS PAC ID: 6507924479 Enrollment ID: I20081021000683 |
Provider Name | Hasan A Rizvi |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1780657148 PECOS PAC ID: 4486789542 Enrollment ID: I20100316000163 |
Provider Name | Olga Kouruklis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669678454 PECOS PAC ID: 0446432660 Enrollment ID: I20110309000851 |
Provider Name | Wei K Kao |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629295571 PECOS PAC ID: 9133015753 Enrollment ID: I20110825000655 |
Provider Name | Anyi Hsueh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295047447 PECOS PAC ID: 5991975625 Enrollment ID: I20110907000836 |
Provider Name | Ling Zhao |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891073771 PECOS PAC ID: 2365600996 Enrollment ID: I20120228000350 |
Provider Name | Narinder Dawar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750651238 PECOS PAC ID: 3577714500 Enrollment ID: I20121121000239 |
Provider Name | Peter L Mermelstein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164855524 PECOS PAC ID: 0648403196 Enrollment ID: I20140507001379 |
Provider Name | Minakshi Rajpoot |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851715007 PECOS PAC ID: 8224258207 Enrollment ID: I20140926000500 |
Provider Name | David H Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760585772 PECOS PAC ID: 8820316664 Enrollment ID: I20150408000051 |
Provider Name | Hanna Vo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609197474 PECOS PAC ID: 1759622244 Enrollment ID: I20190410001477 |
Provider Name | Abel Henry Saturne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528526332 PECOS PAC ID: 7517209257 Enrollment ID: I20190430001348 |
Provider Name | Alicia L Myrie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265887053 PECOS PAC ID: 5496098006 Enrollment ID: I20190523000480 |
Provider Name | Rachel Demaio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013402932 PECOS PAC ID: 0244563492 Enrollment ID: I20190604000813 |
Provider Name | Joanira Peixoto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790299584 PECOS PAC ID: 9133453830 Enrollment ID: I20190701000714 |
Provider Name | Crystal Nevins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801047469 PECOS PAC ID: 0345651949 Enrollment ID: I20201203001841 |
Provider Name | Tamieka T Allison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104594274 PECOS PAC ID: 7315336674 Enrollment ID: I20211109000103 |
Provider Name | Nordea E Harrison Bailey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023641974 PECOS PAC ID: 6608268263 Enrollment ID: I20220112000694 |
Bohemia Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4155 Veterans Memorial Hwy Ste 5, Ronkonkoma, NY 11779 Phone: 631-412-4800 | |
House Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5018 Express Dr S, Ronkonkoma, NY 11779 Phone: 833-266-7171 Fax: 631-209-5129 | |
North Shore Hematology Oncology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Portion Rd, Ronkonkoma, NY 11779 Phone: 631-751-3000 | |
Paul D Priolo Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2805 Veterans Memorial Hwy Ste 8, Ronkonkoma, NY 11779 Phone: 631-676-6324 | |
Andrea E Nomberg Physician Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 622 Hawkins Ave, Ronkonkoma, NY 11779 Phone: 631-583-3333 | |
Mi Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3279 Veterans Memorial Hwy Ste 5, Ronkonkoma, NY 11779 Phone: 631-737-4949 |