| Southern Glazers Syosset Onsite | |
|
345 Underhill Blvd Syosset NY 11791-3425 | |
| (516) 921-9005 | |
| Not Available |
| Full Name | Southern Glazers Syosset Onsite |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 345 Underhill Blvd, Syosset, New York |
| Authorized Official Name and Position | Robert G Hassett (VP) |
| Authorized Official Contact | 9723648000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Glazers Syosset Onsite 5080 Spectrum Dr Ste 1200w Addison TX 75001-4624 | Southern Glazers Syosset Onsite 345 Underhill Blvd Syosset NY 11791-3425 Ph: (516) 921-9005 |
| NPI Number | 1134861446 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134861446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
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