| Ucp Suffolk Health Center | |
|
159 Carleton Ave Central Islip NY 11722-4172 | |
| (631) 439-4314 | |
| (631) 439-4319 |
| Full Name | Ucp Suffolk Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 159 Carleton Ave, Central Islip, New York |
| Authorized Official Name and Position | Janine Klein (CHIEF FINANCIAL OFFICER UCPA) |
| Authorized Official Contact | 6312320011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucp Suffolk Health Center 250 Marcus Blvd Hauppauge NY 11788-2018 Ph: (631) 439-4314 | Ucp Suffolk Health Center 159 Carleton Ave Central Islip NY 11722-4172 Ph: (631) 439-4314 |
| NPI Number | 1609964790 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 01/13/2012 |
| Medicare PECOS PAC ID | 8022907542 |
|---|---|
| Medicare Enrollment ID | O20040312000828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609964790 | NPI | - | NPPES |
| 00354921 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5157203R (New York) | Primary |
| Provider Name | James Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467466581 PECOS PAC ID: 3072409556 Enrollment ID: I20040223000696 |
| Provider Name | Charles W Gluck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871676478 PECOS PAC ID: 9537145172 Enrollment ID: I20040625000121 |
| Provider Name | James A Aguirri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992886774 PECOS PAC ID: 1153307798 Enrollment ID: I20040625000142 |
| Provider Name | Aaron Avni |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134155682 PECOS PAC ID: 0840267977 Enrollment ID: I20040916000740 |
| Provider Name | Joseph M Gagliano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205940038 PECOS PAC ID: 5092776195 Enrollment ID: I20041021001052 |
| Provider Name | Amy W Steinberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841396546 PECOS PAC ID: 1153370853 Enrollment ID: I20050120000289 |
| Provider Name | Gary M Hahn |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336122985 PECOS PAC ID: 6901855477 Enrollment ID: I20050121000731 |
| Provider Name | Gail A Fraser-farmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841223997 PECOS PAC ID: 8628016268 Enrollment ID: I20050422000865 |
| Provider Name | Eileen B Flynn Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780671446 PECOS PAC ID: 7012950678 Enrollment ID: I20050604000020 |
| Provider Name | Donna F Pettick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235244211 PECOS PAC ID: 7113953175 Enrollment ID: I20050711000773 |
| Provider Name | Brian James Haensly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427131036 PECOS PAC ID: 8022025048 Enrollment ID: I20060316000361 |
| Provider Name | Linda Bollinger-lunger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164505715 PECOS PAC ID: 4587733423 Enrollment ID: I20080519000734 |
| Provider Name | Augustine C Romano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255486353 PECOS PAC ID: 5597668079 Enrollment ID: I20080701000159 |
| Provider Name | Frederick B Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578578431 PECOS PAC ID: 9739256868 Enrollment ID: I20080916000116 |
| Provider Name | Raymond Hanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841377272 PECOS PAC ID: 4486799699 Enrollment ID: I20100226000394 |
| Provider Name | Ethan John Liebler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770677809 PECOS PAC ID: 1052308608 Enrollment ID: I20150716000153 |
Lish, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 159 Carleton Ave, Central Islip, NY 11722 Phone: 631-650-2510 Fax: 631-650-0497 | |
Vertex Physical Therapy Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 W Suffolk Avenue, Central Islip, NY 11722 Phone: 407-758-3923 | |
Central Islip Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 W Suffolk Ave, Central Islip, NY 11722 Phone: 631-853-2710 | |
Suffolk Pediatric, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45 W Suffolk Ave, 2nd Floor, Central Islip, NY 11722 Phone: 631-582-2228 Fax: 631-582-4881 | |
Central Islip Satellite Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 W Suffolk Ave, Central Islip, NY 11722 Phone: 631-853-2710 | |
Carl-henri Sanchez, Md. Pc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 W Suffolk Ave, B, Central Islip, NY 11722 Phone: 631-231-4681 Fax: 631-231-4398 | |
Suffolk Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 W Suffolk Ave, 2nd Floor, Central Islip, NY 11722 Phone: 631-415-4385 Fax: 631-761-5966 |