| Bizeta Medical Office Pc | |
|
50 Route 25a Smithtown NY 11787-1348 | |
| (201) 724-0466 | |
| Not Available |
| Full Name | Bizeta Medical Office Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Route 25a, Smithtown, New York |
| Authorized Official Name and Position | Nicolae Bizeta (OWNER/DIRECTOR) |
| Authorized Official Contact | 2017240466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bizeta Medical Office Pc 12 Deepwells Ln Saint James NY 11780-1959 Ph: (201) 724-0466 | Bizeta Medical Office Pc 50 Route 25a Smithtown NY 11787-1348 Ph: (201) 724-0466 |
| NPI Number | 1265756035 |
|---|---|
| Provider Enumeration Date | 03/22/2010 |
| Last Update Date | 02/03/2016 |
| Medicare PECOS PAC ID | 1153505029 |
|---|---|
| Medicare Enrollment ID | O20110419000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265756035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 243096 (New York) | Primary |
| Provider Name | Nicolae D Bizeta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043330962 PECOS PAC ID: 2365539186 Enrollment ID: I20071025000635 |
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