| Selden Primary Medicine,p.c. | |
|
12 New Ln Selden NY 11784-3322 | |
| (631) 736-7220 | |
| (631) 736-7307 |
| Full Name | Selden Primary Medicine,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12 New Ln, Selden, New York |
| Authorized Official Name and Position | Patricia Elaine Webley-bethune (PRESIDENT) |
| Authorized Official Contact | 6317367220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Selden Primary Medicine,p.c. 12 New Ln Selden NY 11784-3322 Ph: (631) 736-7220 | Selden Primary Medicine,p.c. 12 New Ln Selden NY 11784-3322 Ph: (631) 736-7220 |
| NPI Number | 1922287218 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 11/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922287218 | NPI | - | NPPES |
| 063AD1 | Other | NY | EMPIRE BLUE CROSS/SHIELD |
| 01693356 | Medicaid | NY | |
| 1518962000 | Other | NY | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 182907 (New York) | Primary |
Daniele J. Kenny, M.d., Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1312 Middle Country Rd, Selden, NY 11784 Phone: 631-698-6556 Fax: 631-698-1021 | |
Internal Medicine Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 243 Boyle Rd, Selden, NY 11784 Phone: 631-696-2000 Fax: 631-696-2003 | |
Bashir Ahmed Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Middle Country Rd, Selden, NY 11784 Phone: 631-320-3053 Fax: 631-320-3054 |