| Quality Medical Fitness, Pc | |
|
389 Fort Salonga Rd Ste 3 Northport NY 11768-3044 | |
| (631) 424-1170 | |
| (631) 424-1171 |
| Full Name | Quality Medical Fitness, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 389 Fort Salonga Rd Ste 3, Northport, New York |
| Authorized Official Name and Position | Vijay B. Gopal (PRESIDENT) |
| Authorized Official Contact | 6314241170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Medical Fitness, Pc 389 Fort Salonga Rd Ste 3 Northport NY 11768-3044 Ph: (631) 424-1170 | Quality Medical Fitness, Pc 389 Fort Salonga Rd Ste 3 Northport NY 11768-3044 Ph: (631) 424-1170 |
| NPI Number | 1366816415 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 11/30/2015 |
| Medicare PECOS PAC ID | 8325337744 |
|---|---|
| Medicare Enrollment ID | O20160525000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366816415 | NPI | - | NPPES |
| 238113 | Other | NY | NEW YORK STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 238113 (New York) | Primary |
| Provider Name | Harold Avella |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770502965 PECOS PAC ID: 6103861174 Enrollment ID: I20050621001101 |
| Provider Name | Behrouz Farahmandpour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447246756 PECOS PAC ID: 4981634516 Enrollment ID: I20050815000132 |
| Provider Name | Vijay B Gopal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336158187 PECOS PAC ID: 5597761569 Enrollment ID: I20061014000007 |
Compcare Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Paddock Dr, Northport, NY 11768 Phone: 631-332-6704 | |
Medredefined Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Waterside Rd, Northport, NY 11768 Phone: 631-857-4439 | |
Kraydman Medical, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 49 Dolphin Ln, Northport, NY 11768 Phone: 631-767-7724 Fax: 631-271-9155 | |
Northport Family Medicine P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Northport, NY 11768 Phone: 631-261-4445 Fax: 631-261-3710 | |
Progressive Medical Fitness Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 389 Fort Salonga Rd Ste 2, Northport, NY 11768 Phone: 631-201-2474 Fax: 631-382-8325 | |
Richard P. Boughal, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Main St, Northport, NY 11768 Phone: 631-261-3243 Fax: 631-757-6804 |