| Ms Lisa Jean Mamakos, MD | |
|
147 Beach Rd Ste A, Westhampton Beach, NY 11978 | |
| (631) 288-7746 | |
| (631) 288-7111 |
| Full Name | Ms Lisa Jean Mamakos |
|---|---|
| Gender | Female |
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 147 Beach Rd Ste A, Westhampton Beach, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619265584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 282828 (New York) | Primary |
| Entity Name | Long Island Comprehensive Medical Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043588536 PECOS PAC ID: 3678731908 Enrollment ID: O20120216000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa Jean Mamakos, MD 147 Beach Rd Ste A, Westhampton Beach, NY 11978-1733 Ph: (631) 288-7746 | Ms Lisa Jean Mamakos, MD 147 Beach Rd Ste A, Westhampton Beach, NY 11978 Ph: (631) 288-7746 |
Mia Laurel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 Beach Rd Ste A, Westhampton Beach, NY 11978 Phone: 631-288-7746 | |
Liana R Yoder-hegde, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 Old Riverhead Rd, Westhampton Beach, NY 11978 Phone: 631-288-7746 Fax: 631-288-7111 | |
Dr. Daniel M Vanarsdale, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Old Riverhead Rd, Westhampton Beach, NY 11978 Phone: 631-288-7746 Fax: 631-288-7111 | |
Devan Trammel, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 Beach Rd Ste A, Westhampton Beach, NY 11978 Phone: 631-288-7746 | |
Carelle Akilah Cherebin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 Beach Rd (at Montauk Highway), Westhampton Beach, NY 11978 Phone: 631-288-7746 Fax: 631-288-7111 | |
Hans Dieter Schwinn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 147 Beach Rd, Suite A, Westhampton Beach, NY 11978 Phone: 631-288-7746 Fax: 631-288-7111 |