| Stat Doc LLC | |
|
1075 Portion Rd Farmingville NY 11738-4205 | |
| (718) 534-7888 | |
| (718) 874-0088 |
| Full Name | Stat Doc LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1075 Portion Rd, Farmingville, New York |
| Authorized Official Name and Position | Shahid Rasul (CEO) |
| Authorized Official Contact | 7185347888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stat Doc LLC 743 Hillside Ave North New Hyde Park NY 11040-2515 Ph: (917) 774-1787 | Stat Doc LLC 1075 Portion Rd Farmingville NY 11738-4205 Ph: (718) 534-7888 |
| NPI Number | 1730822891 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 04/18/2022 |
| Certification Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730822891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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