| North Suffolk Medical Care, Pc | |
|
4480 Middle Country Rd Calverton NY 11933-1185 | |
| (631) 208-3100 | |
| Not Available |
| Full Name | North Suffolk Medical Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4480 Middle Country Rd, Calverton, New York |
| Authorized Official Name and Position | John Peter O'connor (DOCTOR) |
| Authorized Official Contact | 6312083100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Suffolk Medical Care, Pc 4480 Middle Country Rd Calverton NY 11933-1185 Ph: (631) 208-3100 | North Suffolk Medical Care, Pc 4480 Middle Country Rd Calverton NY 11933-1185 Ph: (631) 208-3100 |
| NPI Number | 1114022084 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 03/14/2008 |
| Medicare PECOS PAC ID | 1951294784 |
|---|---|
| Medicare Enrollment ID | O20040205000617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114022084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | John P Oconnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811917578 PECOS PAC ID: 1254322415 Enrollment ID: I20040518001392 |
| Provider Name | Catherine Molter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396023016 PECOS PAC ID: 4284959727 Enrollment ID: I20150204001877 |