| Syosset Endocrinology Pc | |
|
175 Jericho Tpke Suite 204 Syosset NY 11791-4532 | |
| (631) 271-9151 | |
| Not Available |
| Full Name | Syosset Endocrinology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 175 Jericho Tpke, Syosset, New York |
| Authorized Official Name and Position | Alla Khalfin (OWNER) |
| Authorized Official Contact | 6312719151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syosset Endocrinology Pc 175 Jericho Tpke Ste 201 Syosset NY 11791-4538 Ph: (631) 271-9151 | Syosset Endocrinology Pc 175 Jericho Tpke Suite 204 Syosset NY 11791-4532 Ph: (631) 271-9151 |
| NPI Number | 1093076606 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 10/08/2019 |
| Medicare PECOS PAC ID | 6709040918 |
|---|---|
| Medicare Enrollment ID | O20120619000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093076606 | NPI | - | NPPES |
| 239938 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 239938 (New York) | Primary |
| Provider Name | Alla Khalfin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528259843 PECOS PAC ID: 5092887620 Enrollment ID: I20080626000398 |
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