| Mid Island Primary Medical Care Pc | |
| 
					850 Hicksville Rd Suite 110 Seaford NY 11783-1300  | |
| (516) 735-5454 | |
| (516) 735-6121 | 
| Full Name | Mid Island Primary Medical Care Pc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 850 Hicksville Rd, Seaford, New York | 
| Authorized Official Name and Position | Stephen Cusumano (PHYSICIAN) | 
| Authorized Official Contact | 5167355454 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mid Island Primary Medical Care Pc 850 Hicksville Rd Suite 110 Seaford NY 11783-1300 Ph: (516) 735-5454  | Mid Island Primary Medical Care Pc 850 Hicksville Rd Suite 110 Seaford NY 11783-1300 Ph: (516) 735-5454  | 
| NPI Number | 1033149026 | 
|---|---|
| Provider Enumeration Date | 07/04/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033149026 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
Seaford Family Practice-internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3921 Merrick Rd, Seaford, NY 11783 Phone: 516-785-0660 Fax: 516-785-1099  | |
Massapequa Gastroenterology Assoc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Hicksville Rd, Suite #100, Seaford, NY 11783 Phone: 516-796-9000 Fax: 516-796-6360  |