| Sumaiyah Medical Pc | |
|
1 Somerset St Huntington Station NY 11746-8411 | |
| (631) 271-3075 | |
| (631) 271-3018 |
| Full Name | Sumaiyah Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Somerset St, Huntington Station, New York |
| Authorized Official Name and Position | Sayed Mustafah Khwaja (OWNER) |
| Authorized Official Contact | 6312713075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumaiyah Medical Pc 1 Somerset St Huntington Station NY 11746-8411 Ph: (631) 271-3075 | Sumaiyah Medical Pc 1 Somerset St Huntington Station NY 11746-8411 Ph: (631) 271-3075 |
| NPI Number | 1508151820 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 11/20/2023 |
| Medicare PECOS PAC ID | 2567630213 |
|---|---|
| Medicare Enrollment ID | O20110722000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508151820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Sonia Qadir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417973082 PECOS PAC ID: 8921060682 Enrollment ID: I20041103001192 |
| Provider Name | Sayed M Khwaja |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780612648 PECOS PAC ID: 7719914506 Enrollment ID: I20050723000041 |
| Provider Name | Carly Bushman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821416629 PECOS PAC ID: 4880965219 Enrollment ID: I20170803002372 |
| Provider Name | Catherine I Adamcewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881911303 PECOS PAC ID: 1658693098 Enrollment ID: I20171127000535 |
| Provider Name | Mark C Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649959487 PECOS PAC ID: 3072977651 Enrollment ID: I20230914003896 |
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