| Long Island Family Medical Group Pc | |
|
631 Lake Ave St James NY 11780 | |
| (631) 878-7134 | |
| (631) 878-5118 |
| Full Name | Long Island Family Medical Group Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 631 Lake Ave, St James, New York |
| Authorized Official Name and Position | Margaret M Simat (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6315898324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Family Medical Group Pc 631 Lake Avenue St. James NY 11780 Ph: (631) 589-8324 | Long Island Family Medical Group Pc 631 Lake Ave St James NY 11780 Ph: (631) 878-7134 |
| NPI Number | 1841223369 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 07/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841223369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
St James Medical Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 487 Lake Ave, St James, NY 11780 Phone: 631-584-6014 Fax: 631-584-6098 |