| Primary Medical Associates Of Long Island Pllc | |
|
54 Sunnyside Blvd Ste E Plainview NY 11803-1517 | |
| (516) 506-7776 | |
| (516) 719-0708 |
| Full Name | Primary Medical Associates Of Long Island Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 54 Sunnyside Blvd Ste E, Plainview, New York |
| Authorized Official Name and Position | Natalia Levinskaya (ATTENDING PHYSICIAN) |
| Authorized Official Contact | 5165067776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medical Associates Of Long Island Pllc 54 Sunnyside Blvd Ste E Plainview NY 11803-1517 Ph: (516) 506-7776 | Primary Medical Associates Of Long Island Pllc 54 Sunnyside Blvd Ste E Plainview NY 11803-1517 Ph: (516) 506-7776 |
| NPI Number | 1306196936 |
|---|---|
| Provider Enumeration Date | 09/11/2012 |
| Last Update Date | 03/25/2014 |
| Medicare PECOS PAC ID | 5698920973 |
|---|---|
| Medicare Enrollment ID | O20130313000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306196936 | NPI | - | NPPES |
| 33D2057234 | Other | NY | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 260076 (New York) | Primary |
| Provider Name | Natalia Levinskaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710118104 PECOS PAC ID: 5496900771 Enrollment ID: I20130313000457 |
| Provider Name | Vanessa A Ali Pennock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205066503 PECOS PAC ID: 2860648094 Enrollment ID: I20130313000496 |
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