| Alive Healthcare & Medical Group | |
|
152 N Ocean Ave Patchogue NY 11772-2004 | |
| (347) 392-7208 | |
| Not Available |
| Full Name | Alive Healthcare & Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 152 N Ocean Ave, Patchogue, New York |
| Authorized Official Name and Position | Jamie Andre (CEO) |
| Authorized Official Contact | 3473927208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alive Healthcare & Medical Group 11 Alyssum Ave Huntington NY 11743-5606 Ph: (347) 392-7208 | Alive Healthcare & Medical Group 152 N Ocean Ave Patchogue NY 11772-2004 Ph: (347) 392-7208 |
| NPI Number | 1326484478 |
|---|---|
| Provider Enumeration Date | 05/16/2013 |
| Last Update Date | 05/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326484478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
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