| East Merrick Medical, Pc | |
|
10 E Merrick Rd Ste 306 Valley Stream NY 11580-5800 | |
| (516) 872-2200 | |
| Not Available |
| Full Name | East Merrick Medical, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 10 E Merrick Rd, Valley Stream, New York |
| Authorized Official Name and Position | Alexander Falkovsky (OWNER) |
| Authorized Official Contact | 5168722200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Merrick Medical, Pc 10 E Merrick Rd Ste 306 Valley Stream NY 11580-5800 Ph: (516) 872-2200 | East Merrick Medical, Pc 10 E Merrick Rd Ste 306 Valley Stream NY 11580-5800 Ph: (516) 872-2200 |
| NPI Number | 1053359505 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9436040417 |
|---|---|
| Medicare Enrollment ID | O20111121000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053359505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 206057 (New York) | Primary |
| Provider Name | Alexander Avram Falkovsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760420772 PECOS PAC ID: 6103811450 Enrollment ID: I20040416001103 |
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