| Endocrine Consultants Of Long Island Llp | |
|
29 Barstow Road Suite 305 Great Neck NY 11021 | |
| (516) 482-0347 | |
| (516) 482-3267 |
| Full Name | Endocrine Consultants Of Long Island Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 29 Barstow Road, Great Neck, New York |
| Authorized Official Name and Position | Rory S Breidbart (MANAGER PARTNER) |
| Authorized Official Contact | 5164820347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Consultants Of Long Island Llp 29 Barstow Road Suite 305 Great Neck NY 11021 Ph: (516) 482-0347 | Endocrine Consultants Of Long Island Llp 29 Barstow Road Suite 305 Great Neck NY 11021 Ph: (516) 482-0347 |
| NPI Number | 1598061046 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 10/28/2015 |
| Medicare PECOS PAC ID | 2961685300 |
|---|---|
| Medicare Enrollment ID | O20110323000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598061046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1754665 (New York) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 175465 (New York) | Primary |
| Provider Name | Rachel Fetner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437184850 PECOS PAC ID: 4183672892 Enrollment ID: I20050110000753 |
| Provider Name | Rory S Breidbart |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285600973 PECOS PAC ID: 9133302565 Enrollment ID: I20110323000239 |
| Provider Name | Fiona Grubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083352314 PECOS PAC ID: 0143605451 Enrollment ID: I20220921003762 |
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