| Islander Care Medical Pllc | |
|
120 Bethpage Rd Ste 204 Hicksville NY 11801-1515 | |
| (718) 866-0350 | |
| Not Available |
| Full Name | Islander Care Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 Bethpage Rd Ste 204, Hicksville, New York |
| Authorized Official Name and Position | Zhongju Lu (OWNER) |
| Authorized Official Contact | 7188660350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Islander Care Medical Pllc 120 Bethpage Rd Ste 204 Hicksville NY 11801-1515 Ph: () - | Islander Care Medical Pllc 120 Bethpage Rd Ste 204 Hicksville NY 11801-1515 Ph: (718) 866-0350 |
| NPI Number | 1407699887 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 11/04/2024 |
| Medicare PECOS PAC ID | 6002356516 |
|---|---|
| Medicare Enrollment ID | O20240911002410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407699887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zhongju Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992124358 PECOS PAC ID: 1850667619 Enrollment ID: I20171023000939 |
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