| Island Infectious Disease Medical Pllc | |
|
23 Murray Ave Port Washington NY 11050-3502 | |
| (347) 276-6116 | |
| (347) 276-6116 |
| Full Name | Island Infectious Disease Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23 Murray Ave, Port Washington, New York |
| Authorized Official Name and Position | Daniel Griffin (PRESIDENT) |
| Authorized Official Contact | 3472766116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Infectious Disease Medical Pllc 23 Murray Ave Port Washington NY 11050-3502 Ph: (347) 276-6116 | Island Infectious Disease Medical Pllc 23 Murray Ave Port Washington NY 11050-3502 Ph: (347) 276-6116 |
| NPI Number | 1194548099 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/17/2024 |
| Medicare PECOS PAC ID | 0547780850 |
|---|---|
| Medicare Enrollment ID | O20250217002613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194548099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Anuja S Lee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578669156 PECOS PAC ID: 2365404027 Enrollment ID: I20041103001214 |
| Provider Name | Daniel Griffin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831125640 PECOS PAC ID: 4880686542 Enrollment ID: I20150915003157 |
| Provider Name | Sachi Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780063560 PECOS PAC ID: 1355760943 Enrollment ID: I20201001000159 |
| Provider Name | Yera A Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891173514 PECOS PAC ID: 0941629356 Enrollment ID: I20201005002324 |
| Provider Name | Geoffrey E Casimir |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386098382 PECOS PAC ID: 7113292582 Enrollment ID: I20210810001727 |
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