Organization
SOUTH SHORE ROCKAWAYS IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT G MAKABALI MD (CEO)
(516) 823-8900
Entity
Organization
Contact information
Practice address
600 BROADWAY UNIT B, LYNBROOK, NY 11563-3980
(516) 823-8900
(516) 823-0520
Mailing address
600 BROADWAY UNIT B, LYNBROOK, NY 11563-3980
(516) 823-8900
(516) 823-8900
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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