| Nassau Medical P.c. | |
|
961 Front St Uniondale NY 11553-1646 | |
| (516) 481-2232 | |
| (516) 481-2368 |
| Full Name | Nassau Medical P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 961 Front St, Uniondale, New York |
| Authorized Official Name and Position | Rama B. Raju (PRESIDENT) |
| Authorized Official Contact | 5164812232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nassau Medical P.c. 961 Front St Uniondale NY 11553-1646 Ph: (516) 481-2232 | Nassau Medical P.c. 961 Front St Uniondale NY 11553-1646 Ph: (516) 481-2232 |
| NPI Number | 1881972511 |
|---|---|
| Provider Enumeration Date | 07/29/2011 |
| Last Update Date | 07/29/2011 |
| Medicare PECOS PAC ID | 8921278300 |
|---|---|
| Medicare Enrollment ID | O20110822000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881972511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rama B Raju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609957000 PECOS PAC ID: 2466410378 Enrollment ID: I20041223000169 |
| Provider Name | Jewel-ann Lessie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285237537 PECOS PAC ID: 9032525217 Enrollment ID: I20210312001711 |
| Provider Name | Bindhu Pappachen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871137125 PECOS PAC ID: 8921476730 Enrollment ID: I20221129003002 |
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