| Opti-healthcare | |
|
883 E Main St Riverhead NY 11901-2613 | |
| (631) 284-5500 | |
| (631) 369-7421 |
| Full Name | Opti-healthcare |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 883 E Main St, Riverhead, New York |
| Authorized Official Name and Position | Sophia Samuel (CFO) |
| Authorized Official Contact | 6313662960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opti-healthcare 99 Hollywood Dr Smithtown NY 11787-3135 Ph: (631) 366-2900 | Opti-healthcare 883 E Main St Riverhead NY 11901-2613 Ph: (631) 284-5500 |
| NPI Number | 1144273996 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144273996 | NPI | - | NPPES |
| 01464520 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | () | Primary |
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