| Myles E Gombert Md Pc | |
|
30 Wood Rd Sands Point NY 11050-2625 | |
| (516) 652-7647 | |
| (516) 944-2385 |
| Full Name | Myles E Gombert Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 Wood Rd, Sands Point, New York |
| Authorized Official Name and Position | Myles E Gombert (PRESIDENT) |
| Authorized Official Contact | 5166527647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myles E Gombert Md Pc 30 Wood Rd Sands Point NY 11050-2625 Ph: (516) 652-7647 | Myles E Gombert Md Pc 30 Wood Rd Sands Point NY 11050-2625 Ph: (516) 652-7647 |
| NPI Number | 1003174194 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003174194 | NPI | - | NPPES |
| 00607561 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 129224 (New York) | Primary |