| Soundview Medical Group, Pllc | |
|
1000 Northern Blvd Suite 175 Great Neck NY 11021-5312 | |
| (516) 439-5223 | |
| Not Available |
| Full Name | Soundview Medical Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Northern Blvd, Great Neck, New York |
| Authorized Official Name and Position | Perry Stevens (PRESIDENT) |
| Authorized Official Contact | 5164395223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soundview Medical Group, Pllc 1000 Northern Blvd Suite 175 Great Neck NY 11021-5312 Ph: (516) 439-5223 | Soundview Medical Group, Pllc 1000 Northern Blvd Suite 175 Great Neck NY 11021-5312 Ph: (516) 439-5223 |
| NPI Number | 1003131947 |
|---|---|
| Provider Enumeration Date | 04/05/2010 |
| Last Update Date | 07/23/2010 |
| Medicare PECOS PAC ID | 2062544158 |
|---|---|
| Medicare Enrollment ID | O20100726000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003131947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 179574 (New York) | Secondary |
| 207R00000X | Internal Medicine | 179574 (New York) | Primary |
| Provider Name | Lori A Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073505103 PECOS PAC ID: 1052489994 Enrollment ID: I20081006000492 |
| Provider Name | Perry R Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649327735 PECOS PAC ID: 1951433044 Enrollment ID: I20100726000517 |
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