South Shore Medical Care &diagnostic, Pc is a
Physical Medicine & Rehabilitation based in Holbrook, New York. South Shore Medical Care &diagnostic, Pc is licensed to practice in New York (license number 1867861) and their current practice location is
4250 Veterans Memorial Hwy, Suite 1020, Holbrook, New York. It can be reached at their office (for appointments etc.) via phone at
(631) 737-5143.
NPI number for South Shore Medical Care &diagnostic, Pc is 1700054954 and their current mailing address is 4250 Veterans Memorial Hwy, Suite 1020, Holbrook, New York. South Shore Medical Care &diagnostic, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1700054954.
Healthcare Provider's Profile
| Full Name | South Shore Medical Care &diagnostic, Pc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 4250 Veterans Memorial Hwy, Holbrook, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700054954
- Provider Enumeration Date: 02/11/2008
- Last Update Date: 02/11/2008
Medical Identifiers
Medical identifiers for South Shore Medical Care &diagnostic, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700054954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | C09215 (New York) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 2192491 (New York) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 1867861 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. South Shore Medical Care &diagnostic, Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
South Shore Medical Care &diagnostic, Pc
4250 Veterans Memorial Hwy, Suite 1020,
Holbrook, NY 11741-4000
Ph: (631) 737-5143 | South Shore Medical Care &diagnostic, Pc
4250 Veterans Memorial Hwy, Suite 1020,
Holbrook, NY 11741-4000
Ph: (631) 737-5143 |
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