Stambler Medical Pc | |
450 Waverly Ave Bldg 2 Ste 1 Patchogue NY 11772 | |
(631) 307-9892 | |
(631) 569-5229 |
Full Name | Stambler Medical Pc |
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Speciality | Internal Medicine |
Location | 450 Waverly Ave, Patchogue, New York |
Authorized Official Name and Position | Shazad Zeb (BILLER / OFFICE MANAGER) |
Authorized Official Contact | 5167696409 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Stambler Medical Pc 450 Waverly Ave Bldg 2 Ste 1 Patchogue NY 11772 Ph: (631) 307-9892 | Stambler Medical Pc 450 Waverly Ave Bldg 2 Ste 1 Patchogue NY 11772 Ph: (631) 307-9892 |
NPI Number | 1578194783 |
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Provider Enumeration Date | 01/28/2020 |
Last Update Date | 01/28/2020 |
Medicare PECOS PAC ID | 4688092919 |
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Medicare Enrollment ID | O20200917002017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578194783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jay B Stambler |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821029026 PECOS PAC ID: 3072652973 Enrollment ID: I20091207000445 |
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