| Durga Posina Physician PC | |
|
320 Lake Ave Ste 4 Saint James NY 11780-2255 | |
| (732) 915-8628 | |
| Not Available |
| Full Name | Durga Posina Physician PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 Lake Ave Ste 4, Saint James, New York |
| Authorized Official Name and Position | Durga Sunitha Posina (CEO) |
| Authorized Official Contact | 7329158628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Durga Posina Physician PC 320 Lake Ave Ste 4 Saint James NY 11780-2255 Ph: (732) 915-8628 | Durga Posina Physician PC 320 Lake Ave Ste 4 Saint James NY 11780-2255 Ph: (732) 915-8628 |
| NPI Number | 1851047294 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851047294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
Complete Medical Family Care PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 735 Middle Country Road, Saint James, NY 11780 Phone: 631-656-9200 |