Organization
HICKSVILLE PRIMARY MEDICAL CARE PLLC
Active
Organization
HICKSVILLE PRIMARY MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKUR PATEL (CREDENTIALING COORDINATOR)
(908) 966-7395
Entity
Organization
Contact information
Practice address
380 S BROADWAY, HICKSVILLE, NY 11801-5033
(516) 937-7600
(718) 343-7603
Mailing address
380 S BROADWAY, HICKSVILLE, NY 11801-5033
(516) 937-7600
(718) 343-7603
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225462
LICENSE
NY
Enumeration date
02/21/2019
Last updated
02/21/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up