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NPI Code Detail

MEDICARE: HEALTH EAST INC

MEDICARE: HEALTH EAST INC
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1588507834
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH EAST INC
Provider Business Mailing Address
First Line : 146 NORWALK AVE
Second Line :
City : MEDFORD
State : NY
Zip : 11763-4032
Country : US
Telephone Number : 702-727-6256
Fax Number :
Provider Business Practice Location Address
First Line : 146 NORWALK AVE
Second Line :
City : MEDFORD
State : NY
Zip : 11763-4032
Country : US
Telephone Number : 702-727-6256
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ROBERT SPECK
Credential :
Telephone Number : 702-727-6256
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “HEALTH EAST INC ” Practice Location

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