| Highland Valley Medical Care Pllc | |
|
369 Middle Country Rd Ste 1 Coram NY 11727-3734 | |
| (631) 413-4765 | |
| Not Available |
| Full Name | Highland Valley Medical Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 369 Middle Country Rd Ste 1, Coram, New York |
| Authorized Official Name and Position | Tina Malek (CREDENTIALING CONTACT) |
| Authorized Official Contact | 6314134765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Valley Medical Care Pllc 1797 Veterans Memorial Hwy Ste 1 Islandia NY 11749-1537 Ph: (631) 413-4765 | Highland Valley Medical Care Pllc 369 Middle Country Rd Ste 1 Coram NY 11727-3734 Ph: (631) 413-4765 |
| NPI Number | 1831971449 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 06/05/2024 |
| Medicare PECOS PAC ID | 5890237358 |
|---|---|
| Medicare Enrollment ID | O20240612000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831971449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Inamulhaque M Saboor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891867859 PECOS PAC ID: 0941304968 Enrollment ID: I20070402000226 |
| Provider Name | Asad Butt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679033930 PECOS PAC ID: 1951639467 Enrollment ID: I20231026003902 |
Family Medicine Of Li Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3650 Route 112, Suite 101, Coram, NY 11727 Phone: 631-320-3200 Fax: 631-880-7603 | |
William T. Konczynin & David M. Heckler Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 266 Middle Country Rd, Middle Country Medical Care, Coram, NY 11727 Phone: 631-698-1111 Fax: 631-698-1195 | |
N.a.d Medical Services, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Howard Dr, Coram, NY 11727 Phone: 631-721-0080 Fax: 631-736-1607 | |
Icarern Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W Yaphank Rd, Coram, NY 11727 Phone: 631-933-8897 | |
County Of Suffolk Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 Middle Country Rd, Coram, NY 11727 Phone: 631-854-2301 |