| Nassau Immed Med Care Pllc | |
|
465 Willis Ave Williston Park NY 11596-1724 | |
| (516) 294-3535 | |
| (516) 294-6451 |
| Full Name | Nassau Immed Med Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 465 Willis Ave, Williston Park, New York |
| Authorized Official Name and Position | Susan P. Welgrin (MEMBER) |
| Authorized Official Contact | 5162943535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nassau Immed Med Care Pllc 465 Willis Ave Williston Park NY 11596-1724 Ph: (516) 294-3535 | Nassau Immed Med Care Pllc 465 Willis Ave Williston Park NY 11596-1724 Ph: (516) 294-3535 |
| NPI Number | 1255429254 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 03/17/2008 |
| Medicare PECOS PAC ID | 6305928953 |
|---|---|
| Medicare Enrollment ID | O20080205000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255429254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 187440 (New York) | Primary |
| Provider Name | Susan P Welgrin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518970888 PECOS PAC ID: 5890792568 Enrollment ID: I20061024000021 |
All Seasons Medical Care P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 99 Hillside Ave Ste I, Williston Park, NY 11596 Phone: 516-385-8287 Fax: 516-875-7436 |