| R & T Medical, P.c. | |
|
285 Sills Rd Bldg. 5-6 Suite H East Patchogue NY 11772-4869 | |
| (631) 438-0777 | |
| (631) 438-0770 |
| Full Name | R & T Medical, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 285 Sills Rd, East Patchogue, New York |
| Authorized Official Name and Position | Boris E Rosenfeld (OWNER) |
| Authorized Official Contact | 6314380777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R & T Medical, P.c. 285 Sills Rd Bldg. 5-6 Suite H East Patchogue NY 11772-4869 Ph: (631) 438-0777 | R & T Medical, P.c. 285 Sills Rd Bldg. 5-6 Suite H East Patchogue NY 11772-4869 Ph: (631) 438-0777 |
| NPI Number | 1093066953 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 10/01/2012 |
| Medicare PECOS PAC ID | 9032361464 |
|---|---|
| Medicare Enrollment ID | O20121212000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093066953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 252008 (New York) | Primary |
| Provider Name | Andrei Logvinenko |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952348195 PECOS PAC ID: 9537218326 Enrollment ID: I20100310000204 |
| Provider Name | Boris E. Rosenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518126614 PECOS PAC ID: 6305017658 Enrollment ID: I20110919000550 |
| Provider Name | Kristie Lynn Langa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881475937 PECOS PAC ID: 5496191355 Enrollment ID: I20240313003849 |
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