| Mid Nassau Medical Care For Kidz, Llc | |
|
530 Old Country Rd Suite 1b Westbury NY 11590-4500 | |
| (516) 333-7272 | |
| (516) 333-2519 |
| Full Name | Mid Nassau Medical Care For Kidz, Llc |
|---|---|
| Speciality | General Practice |
| Location | 530 Old Country Rd, Westbury, New York |
| Authorized Official Name and Position | Steven Perrick (M.D./PARTNER) |
| Authorized Official Contact | 5163337272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Nassau Medical Care For Kidz, Llc 530 Old Country Rd Suite 1b Westbury NY 11590-4500 Ph: (516) 333-7272 | Mid Nassau Medical Care For Kidz, Llc 530 Old Country Rd Suite 1b Westbury NY 11590-4500 Ph: (516) 333-7272 |
| NPI Number | 1710356043 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710356043 | NPI | - | NPPES |
| 0218647 | Medicaid | NY | |
| 8307806 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (New York) | Primary |
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