| Doctor's Medical Office Pllc | |
|
1825 Merrick Rd Merrick NY 11566-4559 | |
| (516) 867-5132 | |
| (516) 867-5519 |
| Full Name | Doctor's Medical Office Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1825 Merrick Rd, Merrick, New York |
| Authorized Official Name and Position | Mark Haltrecht (MANAGER/MEMBER) |
| Authorized Official Contact | 5168675132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor's Medical Office Pllc 1825 Merrick Rd Merrick NY 11566-4559 Ph: (516) 867-5132 | Doctor's Medical Office Pllc 1825 Merrick Rd Merrick NY 11566-4559 Ph: (516) 867-5132 |
| NPI Number | 1164848818 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 4880813229 |
|---|---|
| Medicare Enrollment ID | O20140916002424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164848818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mark H Haltrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366510620 PECOS PAC ID: 4789776113 Enrollment ID: I20070815000452 |
| Provider Name | Meredith M Corson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356679963 PECOS PAC ID: 7012105679 Enrollment ID: I20101223000142 |
| Provider Name | Eliot P Gibbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497163091 PECOS PAC ID: 0941567580 Enrollment ID: I20171206002409 |
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