| Martin Luther King Jr Family Health Center | |
|
1556 Straight Path Wyandanch NY 11798-3213 | |
| (631) 854-1700 | |
| (631) 854-1783 |
| Full Name | Martin Luther King Jr Family Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1556 Straight Path, Wyandanch, New York |
| Authorized Official Name and Position | James L Tomarken (COMMISSIONER) |
| Authorized Official Contact | 6318540100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Luther King Jr Family Health Center 3500 Sunrise Hwy, Suite 124 P.o. Box 9006 Great River NY 11739-9006 Ph: (631) 854-0000 | Martin Luther King Jr Family Health Center 1556 Straight Path Wyandanch NY 11798-3213 Ph: (631) 854-1700 |
| NPI Number | 1275637480 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 10/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275637480 | NPI | - | NPPES |
| 03003601 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Federation Of Organizations For The Ny State Mentally Disabled Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240a Long Island Ave, Wyandanch, NY 11798 Phone: 631-782-6200 Fax: 631-491-5354 | |
North Suffolk Medicine & Geriatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1521 Straight Path, Wyandanch, NY 11798 Phone: 631-643-3800 Fax: 631-253-4292 | |
Skope Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1537 Straight Path, Ste 102, Wyandanch, NY 11798 Phone: 631-253-0270 |