Southampton Immediate Medical Care Pc | |
290 N Sea Rd Southampton NY 11968-2034 | |
(631) 283-5900 | |
(631) 287-7174 |
Full Name | Southampton Immediate Medical Care Pc |
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Speciality | Clinic/Center |
Location | 290 N Sea Rd, Southampton, New York |
Authorized Official Name and Position | James Edmund Frank Giugliano (DIRECTOR) |
Authorized Official Contact | 6312835900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southampton Immediate Medical Care Pc 290 N Sea Rd Southampton NY 11968-2034 Ph: (631) 283-5900 | Southampton Immediate Medical Care Pc 290 N Sea Rd Southampton NY 11968-2034 Ph: (631) 283-5900 |
NPI Number | 1316185523 |
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Provider Enumeration Date | 01/26/2009 |
Last Update Date | 01/26/2009 |
Medicare PECOS PAC ID | 8224176250 |
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Medicare Enrollment ID | O20091112000311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316185523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 181535-1 (New York) | Primary |
Provider Name | James E F Giugliano |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912974890 PECOS PAC ID: 1557414349 Enrollment ID: I20090727000373 |
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