| Prevent Diagnostic Corp | |
|
205 Wood Rd Lake Grove NY 11755-1856 | |
| (631) 676-4336 | |
| (631) 676-4337 |
| Full Name | Prevent Diagnostic Corp |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 205 Wood Rd, Lake Grove, New York |
| Authorized Official Name and Position | Gamze Yanik (PRESIDENT) |
| Authorized Official Contact | 6316764336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevent Diagnostic Corp 205 Wood Rd Lake Grove NY 11755-1856 Ph: (631) 676-4336 | Prevent Diagnostic Corp 205 Wood Rd Lake Grove NY 11755-1856 Ph: (631) 676-4336 |
| NPI Number | 1396053450 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 09/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396053450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
North Shore Regional Mri Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2780 Middle Country Road, Suite 305, Lake Grove, NY 11755 Phone: 631-689-5252 Fax: 631-689-5934 | |
James Y.z. Wu, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Alexander Ave Unit B, Lake Grove, NY 11755 Phone: 631-265-8258 Fax: 631-265-8256 |