MEDICARE: LONG ISLAND MEDICAL CARE 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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	285097	OTHER	NY	LICENSE

General Provider Information

NPI Number	:	1215824891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONG ISLAND MEDICAL CARE PC

Provider Business Mailing Address
First Line	:	40 QUEENS ST UNIT 161
Second Line	:
City	:	SYOSSET
State	:	NY
Zip	:	11791-7407
Country	:	US
Telephone Number	:	718-806-1434
Fax Number	:	718-806-1435

Provider Business Practice Location Address
First Line	:	46 MEADOWBROOK RD
Second Line	:
City	:	SYOSSET
State	:	NY
Zip	:	11791-2116
Country	:	US
Telephone Number	:	718-806-1434
Fax Number	:	718-806-1435

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXEY YANILSHTEIN
Credential	:	MD
Telephone Number	:	718-806-1434

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	03/26/2026

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Directions to “LONG ISLAND MEDICAL CARE PC ” Practice Location

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