Setauket Medical, Pc | |
4 Technology Dr Suite 220 East Setauket NY 11733-4080 | |
(631) 964-9581 | |
(631) 476-9298 |
Full Name | Setauket Medical, Pc |
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Speciality | Internal Medicine |
Location | 4 Technology Dr, East Setauket, New York |
Authorized Official Name and Position | Hesham M Atwa (OWNER) |
Authorized Official Contact | 6314769296 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Setauket Medical, Pc 4 Technology Dr Suite 220 East Setauket NY 11733-4080 Ph: (631) 964-9581 | Setauket Medical, Pc 4 Technology Dr Suite 220 East Setauket NY 11733-4080 Ph: (631) 964-9581 |
NPI Number | 1346774122 |
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Provider Enumeration Date | 04/18/2017 |
Last Update Date | 04/18/2017 |
Medicare PECOS PAC ID | 3375814544 |
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Medicare Enrollment ID | O20170807000639 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346774122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
Provider Name | Eileen M Barr |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669561940 PECOS PAC ID: 6204905151 Enrollment ID: I20080519000033 |
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