Organization
PHYCARE IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT G MAKABALI M.D. (CEO)
(516) 823-8900
Entity
Organization
Contact information
Practice address
20 E SUNRISE HWY, SUITE 301, VALLEY STREAM, NY 11581-1260
(516) 823-8900
(516) 823-0520
Mailing address
20 E SUNRISE HWY, SUITE 301, VALLEY STREAM, NY 11581-1260
(516) 823-8900
(516) 823-0520
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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