| Mid Island Medical Associates, Pllc | |
|
172 Belleview Ave Center Moriches NY 11934-3731 | |
| (516) 697-8387 | |
| (516) 365-1476 |
| Full Name | Mid Island Medical Associates, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 172 Belleview Ave, Center Moriches, New York |
| Authorized Official Name and Position | Olaf Butchma (PRESIDENT) |
| Authorized Official Contact | 2039012493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Island Medical Associates, Pllc Po Box 367 Manhasset NY 11030-0367 Ph: (516) 697-8387 | Mid Island Medical Associates, Pllc 172 Belleview Ave Center Moriches NY 11934-3731 Ph: (516) 697-8387 |
| NPI Number | 1023905247 |
|---|---|
| Provider Enumeration Date | 06/20/2025 |
| Last Update Date | 08/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023905247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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