Philip Degaetano D.o.p.c. | |
405 Sayville Blvd Sayville NY 11782-2015 | |
(631) 806-1357 | |
Not Available |
Full Name | Philip Degaetano D.o.p.c. |
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Speciality | Family Medicine |
Location | 405 Sayville Blvd, Sayville, New York |
Authorized Official Name and Position | Philip Degaetano (OWNER) |
Authorized Official Contact | 6318061357 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Philip Degaetano D.o.p.c. Po Box 23 Blue Point NY 11715-0023 Ph: () - | Philip Degaetano D.o.p.c. 405 Sayville Blvd Sayville NY 11782-2015 Ph: (631) 806-1357 |
NPI Number | 1881430932 |
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Provider Enumeration Date | 07/08/2024 |
Last Update Date | 07/09/2024 |
Medicare PECOS PAC ID | 2860939766 |
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Medicare Enrollment ID | O20240808002083 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881430932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Philip Degaetano |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174810436 PECOS PAC ID: 8224255310 Enrollment ID: I20160303001227 |
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