Rocky Point Medical Care, P.c. | |
575 Route 25a Rocky Point NY 11778-8886 | |
(631) 821-9000 | |
(631) 821-9114 |
Full Name | Rocky Point Medical Care, P.c. |
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Speciality | Clinic/Center |
Location | 575 Route 25a, Rocky Point, New York |
Authorized Official Name and Position | Debra Sundberg (CO MANAGER) |
Authorized Official Contact | 6318219000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rocky Point Medical Care, P.c. 575 Route 25a Rocky Point NY 11778-8886 Ph: (631) 821-9000 | Rocky Point Medical Care, P.c. 575 Route 25a Rocky Point NY 11778-8886 Ph: (631) 821-9000 |
NPI Number | 1134100316 |
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Provider Enumeration Date | 11/07/2005 |
Last Update Date | 01/22/2010 |
Medicare PECOS PAC ID | 5193874006 |
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Medicare Enrollment ID | O20090526000446 |
Identifier | Type | State | Issuer |
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1134100316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | John Gil |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376541912 PECOS PAC ID: 7012066921 Enrollment ID: I20101110000502 |
Pyschotherapy And Social Work Concepts Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Zenith Rd, Rocky Point, NY 11778 Phone: 631-744-7009 Fax: 631-744-7009 |