| Enj Medical PC | |
|
275 Rockaway Tpke Suite A Lawrence NY 11559-1272 | |
| (516) 400-9302 | |
| (516) 400-9309 |
| Full Name | Enj Medical PC |
|---|---|
| Speciality | Family Medicine |
| Location | 275 Rockaway Tpke, Lawrence, New York |
| Authorized Official Name and Position | David Martin Jacobson (OWNER) |
| Authorized Official Contact | 3472622427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enj Medical PC 206 Avery Pl Cedarhurst NY 11516-1805 Ph: (347) 262-2427 | Enj Medical PC 275 Rockaway Tpke Suite A Lawrence NY 11559-1272 Ph: (516) 400-9302 |
| NPI Number | 1912311960 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 08/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912311960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 267245 (New York) | Primary |
Yitzhak D. Twersky M.D., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Central Ave, Suite 204, Lawrence, NY 11559 Phone: 516-476-7710 Fax: 516-239-6866 |
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Lawrence Family Medical Practice, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Broadway, Lawrence, NY 11559 Phone: 516-239-5540 Fax: 516-239-1363 |
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