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NPI Code Detail

MEDICARE: NORTH NASSAU MEDICAL ASSOCIATES

MEDICARE: NORTH NASSAU MEDICAL ASSOCIATES
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
1261QP2300XPrimary Care Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1598830531
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH NASSAU MEDICAL ASSOCIATES
Provider Business Mailing Address
First Line : 235 FOREST AVE
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2034
Country : US
Telephone Number : 516-671-7770
Fax Number : 516-671-6372
Provider Business Practice Location Address
First Line : 235 FOREST AVE
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2034
Country : US
Telephone Number : 516-671-7770
Fax Number : 516-671-6372
Authorized Official
Title or Position : OWNER
Name : DR. PETER J KURZWEIL
Credential : MD
Telephone Number : 516-671-7770
Provider Enumeration Date : 11/22/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1821955279 — MRS. JENNIFER DIAZ PA-C
Practice Location Address:
235 FOREST AVE
GLEN COVE, NY
11542-2034
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Practice Fax:
1538234570 — DR. PETER J KURZWEIL MD
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235 FOREST AVE
GLEN COVE, NY
11542-2034
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1215138201 — PETER J. KURZWEIL, M.D., P.C.
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235 FOREST AVE
GLEN COVE, NY
11542-2034
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Practice Fax:
1750636635 — DR. KHAWAJA ASIM SIDDIQUE MD
Practice Location Address:
235 FOREST AVE
GLEN COVE, NY
11542-2034
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Practice Fax: 516-671-6372
1881424885 — CRESCENT INTEGRATIVE MEDICAL PLLC
Practice Location Address:
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11542-2034
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1023801842 — 787 MEDICAL PC
Practice Location Address:
235 FOREST AVE
GLEN COVE, NY
11542-2034
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Directions to “NORTH NASSAU MEDICAL ASSOCIATES ” Practice Location

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