| Stambler Medical PC | |
|
450 Waverly Ave Bldg 2 Ste 1 Patchogue NY 11772 | |
| (631) 307-9892 | |
| (631) 569-5229 |
| Full Name | Stambler Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 450 Waverly Ave, Patchogue, New York |
| Authorized Official Name and Position | Shazad Zeb (BILLER / OFFICE MANAGER) |
| Authorized Official Contact | 5167696409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stambler Medical PC 450 Waverly Ave Bldg 2 Ste 1 Patchogue NY 11772 Ph: (631) 307-9892 | Stambler Medical PC 450 Waverly Ave Bldg 2 Ste 1 Patchogue NY 11772 Ph: (631) 307-9892 |
| NPI Number | 1578194783 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 01/28/2020 |
| Certification Date | 01/28/2020 |
| Medicare PECOS PAC ID | 4688092919 |
|---|---|
| Medicare Enrollment ID | O20200917002017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578194783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Jay B Stambler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821029026 PECOS PAC ID: 3072652973 Enrollment ID: I20091207000445 |
| Provider Name | Herman Tong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528235793 PECOS PAC ID: 1456679786 Enrollment ID: I20150416000506 |
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