MEDICARE: BAYPORT MEDICAL GROUP PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	196926	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184951139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYPORT MEDICAL GROUP PC

Provider Business Mailing Address
First Line	:	10 S SNEDECOR AVE
Second Line	:
City	:	BAYPORT
State	:	NY
Zip	:	11705-2133
Country	:	US
Telephone Number	:	631-472-0600
Fax Number	:	631-472-0602

Provider Business Practice Location Address
First Line	:	10 S SNEDECOR AVE
Second Line	:
City	:	BAYPORT
State	:	NY
Zip	:	11705-2133
Country	:	US
Telephone Number	:	631-472-0600
Fax Number	:	631-472-0602

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	GLORIA DELFINO
Credential	:
Telephone Number	:	631-472-0600

Provider Enumeration Date	:	11/12/2009
Last Update Date	:	11/12/2009

Similar Medicare Providers

1225070303 — DR. KALPANA PATEL M.D.
Practice Location Address:

10 S SNEDECOR AVE
BAYPORT, NY
11705-2133

Practice Phone: 631-472-0600
Practice Fax:

1104768209 — TABRINA FITZGERALD
Practice Location Address:

325 1ST AVE
BAYPORT, NY
11705-1303

Practice Phone: 631-889-5185
Practice Fax:

1003810433 — DR. GARY A MAGGIO DC
Practice Location Address:

671 MONTAUK HWY , STE A
BAYPORT, NY
11705-1607

Practice Phone: 631-472-3535
Practice Fax: 631-472-8221

1861492878 — DR. JASON ROBERT BEHAR D.P.M
Practice Location Address:

671 MONTAUK HWY
BAYPORT, NY
11705-1607

Practice Phone: 631-472-2112
Practice Fax: 631-472-2605

1881695500 — MR. ROBERT ALLAN ROCHE-BARNETT MD
Practice Location Address:

581 MIDDLE RD
BAYPORT, NY
11705-1916

Practice Phone: 631-472-8100
Practice Fax: 631-472-8811

1780610022 — MS. VERONICA JEANETTE HARKINS LCSW
Practice Location Address:

360 IRA PL
BAYPORT, NY
11705-1217

Practice Phone: 631-669-5355
Practice Fax:

Directions to “BAYPORT MEDICAL GROUP PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.