| Sarita Dorschug D.o. P.c. | |
|
652 Suffolk Ave. Suite 208 Brentwood NY 11717-4305 | |
| (631) 231-3535 | |
| (631) 231-3561 |
| Full Name | Sarita Dorschug D.o. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 652 Suffolk Ave., Brentwood, New York |
| Authorized Official Name and Position | Sarita K Dorschug (PRESIDENT) |
| Authorized Official Contact | 6312313535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarita Dorschug D.o. P.c. 652 Suffolk Ave. Suite 208 Brentwood NY 11717 Ph: (631) 231-3535 | Sarita Dorschug D.o. P.c. 652 Suffolk Ave. Suite 208 Brentwood NY 11717-4305 Ph: (631) 231-3535 |
| NPI Number | 1538293733 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6800804766 |
|---|---|
| Medicare Enrollment ID | O20100414000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538293733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 203811 (New York) | Primary |
| Provider Name | Sarita K. Dorschug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811073935 PECOS PAC ID: 4486780954 Enrollment ID: I20100414000233 |
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