| Great Neck Medicine, Pc | |
|
290 Community Dr Great Neck NY 11021-5504 | |
| (516) 487-1902 | |
| (516) 487-4156 |
| Full Name | Great Neck Medicine, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 290 Community Dr, Great Neck, New York |
| Authorized Official Name and Position | Marcello Sozio (CEO) |
| Authorized Official Contact | 5164871902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Neck Medicine, Pc 290 Community Dr Great Neck NY 11021-5504 Ph: (516) 487-1902 | Great Neck Medicine, Pc 290 Community Dr Great Neck NY 11021-5504 Ph: (516) 487-1902 |
| NPI Number | 1629479324 |
|---|---|
| Provider Enumeration Date | 09/12/2014 |
| Last Update Date | 09/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629479324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 260969 (New York) | Primary |
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