| Pdg Medical PC | |
|
1855 Union Blvd Bay Shore NY 11706-7949 | |
| (631) 665-3666 | |
| Not Available |
| Full Name | Pdg Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1855 Union Blvd, Bay Shore, New York |
| Authorized Official Name and Position | Paul Greenblatt (PRESIDENT) |
| Authorized Official Contact | 6316653666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdg Medical PC Po Box 5390 Bay Shore NY 11706-0279 | Pdg Medical PC 1855 Union Blvd Bay Shore NY 11706-7949 Ph: (631) 665-3666 |
| NPI Number | 1578712295 |
|---|---|
| Provider Enumeration Date | 09/18/2008 |
| Last Update Date | 09/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578712295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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