| Main Street Medical, Pc | |
|
38-40 East Main Street Bay Shore NY 11706 | |
| (631) 647-9555 | |
| (631) 647-9548 |
| Full Name | Main Street Medical, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 38-40 East Main Street, Bay Shore, New York |
| Authorized Official Name and Position | Kalman Ausubel (OWNER) |
| Authorized Official Contact | 6316479555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Medical, Pc 38-40 East Main Street Bay Shore NY 11706 Ph: (631) 647-9555 | Main Street Medical, Pc 38-40 East Main Street Bay Shore NY 11706 Ph: (631) 647-9555 |
| NPI Number | 1184049835 |
|---|---|
| Provider Enumeration Date | 03/04/2014 |
| Last Update Date | 03/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184049835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
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