| Leisure Medical | |
|
681 Whiskey Rd Unit 2 Ridge NY 11961-8351 | |
| (631) 675-0488 | |
| (631) 910-2022 |
| Full Name | Leisure Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 681 Whiskey Rd Unit 2, Ridge, New York |
| Authorized Official Name and Position | Nat Desire (PHYSICIAN) |
| Authorized Official Contact | 6316750488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leisure Medical 681 Whiskey Rd Unit 2 Ridge NY 11961-8351 Ph: (631) 675-0488 | Leisure Medical 681 Whiskey Rd Unit 2 Ridge NY 11961-8351 Ph: (631) 675-0488 |
| NPI Number | 1548147911 |
|---|---|
| Provider Enumeration Date | 08/18/2025 |
| Last Update Date | 08/18/2025 |
| Certification Date | 08/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548147911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
Zen Life Massage Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 Middle Country Rd, Ridge, NY 11961 Phone: 516-946-9417 |
Leisure Village Primary Care (lvpc) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 681 Whiskey Rd Unit 2, Ridge, NY 11961 Phone: 631-675-0488 Fax: 934-899-0421 |