| Project Samaritan Health Services | |
|
161 Lake Shore Rd Lake Ronkonkoma NY 11779-3182 | |
| (631) 306-5895 | |
| (718) 657-1870 |
| Full Name | Project Samaritan Health Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 161 Lake Shore Rd, Lake Ronkonkoma, New York |
| Authorized Official Name and Position | Peter Grisafi (PRESIDENT/ CEO) |
| Authorized Official Contact | 7186571100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Samaritan Health Services 8956 162nd St Fl 3 Jamaica NY 11432-5072 Ph: (718) 657-1100 | Project Samaritan Health Services 161 Lake Shore Rd Lake Ronkonkoma NY 11779-3182 Ph: (631) 306-5895 |
| NPI Number | 1265970834 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 08/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265970834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7003246R (New York) | Primary |
North Shore Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Portion Rd, Suite C, Lake Ronkonkoma, NY 11779 Phone: 631-585-5959 | |
Ismail Ozcan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 95 Church St, Lake Ronkonkoma, NY 11779 Phone: 631-588-6665 Fax: 631-580-5543 | |
Theodore Fried Burford Welch & David Hauer Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 388 Hawkins Ave, Suite 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480 | |
Lake Family Medical Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Portion Rd Ste A, Lake Ronkonkoma, NY 11779 Phone: 631-981-1333 Fax: 631-981-2326 | |
Rakesh Sharma Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Portion Rd, Suite 104, Lake Ronkonkoma, NY 11779 Phone: 631-588-8393 Fax: 631-588-2312 | |
Michael Creta, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-981-0045 Fax: 631-981-1117 |