All Island Medical Associates PC
Organization Active NPI Family Medicine Physician · Bohemia, NY
NPI 1053508994 · NPPES record last updated Sep 22, 2017
Key facts
- NPI
- 1053508994
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 194215-1 (NY)
- Legal business name
- ALL ISLAND MEDICAL ASSOCIATES PC
- Practice address
- 1099 Smithtown Ave
Bohemia, NY 11716-2127 - Phone
- (631) 589-7787
- Fax
- (631) 589-3908
- NPI assigned
- Sep 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Sareth Pinnamaneni, M.D.
- Title
- Proprietor
- Phone
- (631) 589-7787
National Provider Directory
Locations
1099 Smithtown Ave
Bohemia, NY 11716
Phone (631) 589-7787
1500 Ocean Ave
Ste C
Bohemia, NY 11716
Phone (631) 589-7787
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 194215-1 | NY | Yes |
Addresses
Primary practice location
1099 Smithtown Ave
Bohemia, NY 11716-2127
Mailing address
PO Box 447
Bohemia, NY 11716-0447
Phone (631) 589-7787
Other providers in Bohemia, NY
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- Courtney Brooke Alberts
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- Marybeth Almeraris
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All providers in Bohemia, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.