| South Island Medical | |
|
4042a Austin Blvd Island Park NY 11558-1226 | |
| (516) 670-8800 | |
| (516) 670-8803 |
| Full Name | South Island Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 4042a Austin Blvd, Island Park, New York |
| Authorized Official Name and Position | Carolyn M Castiglia (PRESIDENT) |
| Authorized Official Contact | 5166708800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Island Medical 4042-a Austin Blvd Island Park NY 11558-1226 Ph: (516) 670-8800 | South Island Medical 4042a Austin Blvd Island Park NY 11558-1226 Ph: (516) 670-8800 |
| NPI Number | 1306954292 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 03/18/2008 |
| Medicare PECOS PAC ID | 1658262092 |
|---|---|
| Medicare Enrollment ID | O20080317000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306954292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 210382 (New York) | Primary |
| Provider Name | Carolyn M Castiglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952389470 PECOS PAC ID: 9537244454 Enrollment ID: I20080317000216 |
| Provider Name | John D Bedell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528254570 PECOS PAC ID: 4688742950 Enrollment ID: I20081014000470 |
Dr Christian Nahas D.o. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 California Pl S, Island Park, NY 11558 Phone: 516-431-0698 Fax: 516-431-0767 |