| Richard P. Boughal, M.d., P.c. | |
|
308 Main St Northport NY 11768-1740 | |
| (631) 261-3243 | |
| (631) 757-6804 |
| Full Name | Richard P. Boughal, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 308 Main St, Northport, New York |
| Authorized Official Name and Position | Richard Patrick Boughal (PRESIDENT) |
| Authorized Official Contact | 6312613243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard P. Boughal, M.d., P.c. 308 Main St Northport NY 11768-1740 Ph: (631) 261-3243 | Richard P. Boughal, M.d., P.c. 308 Main St Northport NY 11768-1740 Ph: (631) 261-3243 |
| NPI Number | 1790942944 |
|---|---|
| Provider Enumeration Date | 05/16/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790942944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 149485 (New York) | Primary |
Compcare Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Paddock Dr, Northport, NY 11768 Phone: 631-332-6704 | |
Quality Medical Fitness, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 389 Fort Salonga Rd Ste 3, Northport, NY 11768 Phone: 631-424-1170 Fax: 631-424-1171 | |
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 | |
Rowan Health Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Burr Ave, Northport, NY 11768 Phone: 631-708-4066 | |
North Shore Medical Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 Fort Salonga Rd, Northport, NY 11768 Phone: 631-757-5400 Fax: 631-757-4178 |