Smithtown Primary Medical Care, P.c. | |
100 Maple Ave Smithtown NY 11787-3502 | |
(631) 265-7671 | |
(631) 265-7692 |
Full Name | Smithtown Primary Medical Care, P.c. |
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Speciality | Family Medicine |
Location | 100 Maple Ave, Smithtown, New York |
Authorized Official Name and Position | Ronald Roth (PRESIDENT) |
Authorized Official Contact | 6312657671 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Smithtown Primary Medical Care, P.c. 100 Maple Ave Smithtown NY 11787-3502 Ph: (631) 265-7671 | Smithtown Primary Medical Care, P.c. 100 Maple Ave Smithtown NY 11787-3502 Ph: (631) 265-7671 |
NPI Number | 1326243536 |
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Provider Enumeration Date | 06/18/2007 |
Last Update Date | 09/29/2011 |
Medicare PECOS PAC ID | 2163609579 |
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Medicare Enrollment ID | O20110613000565 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326243536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 120634-1 (New York) | Primary |
Provider Name | Ronald Roth |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891870234 PECOS PAC ID: 1153519053 Enrollment ID: I20110613000398 |
Provider Name | Priscilla Lamura |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124749130 PECOS PAC ID: 2961875455 Enrollment ID: I20230303000708 |
Provider Name | Barbara Mazzola |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629106695 PECOS PAC ID: 4486977204 Enrollment ID: I20240219003693 |
Raul R. Trinchet, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 285 Middle Country Road, Suite Ll-2, Smithtown, NY 11787 Phone: 631-979-4541 Fax: 631-979-4546 | |
Pilip Medical Treatments P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Smithtown Byp Ste 305, Smithtown, NY 11787 Phone: 631-656-9040 Fax: 631-648-9661 | |
Omni Medical 360 Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Maple Ave, Smithtown, NY 11787 Phone: 631-813-7788 | |
Optimum Care Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321 E Main St Ste 1, Smithtown, NY 11787 Phone: 631-265-4606 Fax: 631-265-4675 | |
Long Island Gastroenterology And Liver Disease P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 48 Route 25a Ste 307, Smithtown, NY 11787 Phone: 631-265-0062 Fax: 631-265-0590 | |
Infectious Disease Medical Practice Of Ny Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 48 Route 25a, Suite 308, Smithtown, NY 11787 Phone: 631-864-6111 Fax: 631-864-5004 | |
Vp Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Gilbert Ave, Smithtown, NY 11787 Phone: 347-987-1168 |