| Sunita M. Makhijani Physician Pllc | |
|
12 Little Neck Rd Suite 102 Centerport NY 11721-1613 | |
| (631) 757-0333 | |
| (631) 757-1331 |
| Full Name | Sunita M. Makhijani Physician Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 Little Neck Rd, Centerport, New York |
| Authorized Official Name and Position | Sunita M Makhijani (OWNER) |
| Authorized Official Contact | 6317570333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunita M. Makhijani Physician Pllc 434 E Main St Unit 603 Centerport NY 11721-2225 Ph: (631) 757-0333 | Sunita M. Makhijani Physician Pllc 12 Little Neck Rd Suite 102 Centerport NY 11721-1613 Ph: (631) 757-0333 |
| NPI Number | 1609080852 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 09/07/2021 |
| Medicare PECOS PAC ID | 7810088655 |
|---|---|
| Medicare Enrollment ID | O20070808000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609080852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 186497 (New York) | Primary |
| Provider Name | Sunita Makhijani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003984212 PECOS PAC ID: 3375647233 Enrollment ID: I20070402000620 |
Island Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Sills Ct, Centerport, NY 11721 Phone: 631-757-9500 | |
Centerport Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Sills Ct, Centerport, NY 11721 Phone: 631-757-9500 Fax: 631-757-2325 |