| South Shore Family Practice, D.o., P.c. | |
|
5440 Merrick Rd Massapequa NY 11758-6213 | |
| (516) 795-8446 | |
| (516) 795-2981 |
| Full Name | South Shore Family Practice, D.o., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 5440 Merrick Rd, Massapequa, New York |
| Authorized Official Name and Position | Steven Christopher Golinowski (PRESIDENT) |
| Authorized Official Contact | 5167958446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Family Practice, D.o., P.c. 616 Broadway Massapequa NY 11758-5024 Ph: (516) 795-8446 | South Shore Family Practice, D.o., P.c. 5440 Merrick Rd Massapequa NY 11758-6213 Ph: (516) 795-8446 |
| NPI Number | 1386856334 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 10/25/2023 |
| Medicare PECOS PAC ID | 9931369709 |
|---|---|
| Medicare Enrollment ID | O20120402000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386856334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (New York) | Primary |
| Provider Name | Sergio Sokol |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356398713 PECOS PAC ID: 0042293714 Enrollment ID: I20040611001375 |
| Provider Name | Paul Bonheim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235139775 PECOS PAC ID: 2466355987 Enrollment ID: I20040917000751 |
| Provider Name | Ari Seth Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073776662 PECOS PAC ID: 0648394536 Enrollment ID: I20100830000409 |
| Provider Name | Steven C Golinowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528092020 PECOS PAC ID: 2961686258 Enrollment ID: I20110412000044 |
| Provider Name | Robert A Tufano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851442966 PECOS PAC ID: 4183884950 Enrollment ID: I20120402000518 |
| Provider Name | Sophia Asmara Solomon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902288269 PECOS PAC ID: 3678824943 Enrollment ID: I20180926000116 |
| Provider Name | Laura M Sabatino-jan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750800405 PECOS PAC ID: 1951634146 Enrollment ID: I20190603001146 |
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