| South Brookhaven Health Center East | |
|
550 Montauk Hwy Shirley NY 11967-2114 | |
| (631) 852-1000 | |
| (631) 852-1009 |
| Full Name | South Brookhaven Health Center East |
|---|---|
| Speciality | Clinic/center |
| Location | 550 Montauk Hwy, Shirley, New York |
| Authorized Official Name and Position | James L Tomarken (COMMISSIONER) |
| Authorized Official Contact | 6318540100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Brookhaven Health Center East P.o. Box 9006 3500 Sunrise Hwy, Suite 124 Great River NY 11739-9006 Ph: (631) 854-0000 | South Brookhaven Health Center East 550 Montauk Hwy Shirley NY 11967-2114 Ph: (631) 852-1000 |
| NPI Number | 1710081922 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710081922 | NPI | - | NPPES |
| 03003683 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Anthony Tomasso, Do Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Coraci Blvd, Ste #4, Shirley, NY 11967 Phone: 631-281-8670 Fax: 631-281-8242 | |
Kumar S Mandal Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Coraci Blvd, Shirley, NY 11967 Phone: 631-281-2600 Fax: 631-281-6732 | |
Md 365 Medical Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Montauk Hwy Ste 18, Shirley, NY 11967 Phone: 631-772-4646 Fax: 631-772-2495 |