South Nassau Family Medicine Pc | |
196 Merrick Rd Oceanside NY 11572-1420 | |
(516) 255-8400 | |
(516) 255-8453 |
Full Name | South Nassau Family Medicine Pc |
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Speciality | Family Medicine |
Location | 196 Merrick Rd, Oceanside, New York |
Authorized Official Name and Position | Scott Ippolito (CHAIRMAN) |
Authorized Official Contact | 5162558400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Nassau Family Medicine Pc 1 Healthy Way Attn: Physician Billing Dept Oceanside NY 11572-1551 Ph: (516) 255-1600 | South Nassau Family Medicine Pc 196 Merrick Rd Oceanside NY 11572-1420 Ph: (516) 255-8400 |
NPI Number | 1902891781 |
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Provider Enumeration Date | 09/16/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902891781 | NPI | - | NPPES |
02156889 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mes Medical Consultingpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 Elaine Dr, Oceanside, NY 11572 Phone: 516-286-0094 | |
William H. Simon, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2940 Lincoln Ave, Suite201, Oceanside, NY 11572 Phone: 516-766-6808 Fax: 516-766-5218 | |