Active NPI 1447339270 Individual Practitioner Male Practitioner

Dr. Michael Anthony Lauto , DO

Internal Medicine • Patchogue, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Lauto, DO is a certified Internal Medicine practicing in Patchogue, NY. With approximately 42 years of clinical experience since graduating from University Of New England, College Of Osteo Medicine in 1984, Dr. Lauto delivers high-quality medical care to the local community at 107 NORTH OCEAN AVENUE.

Dr. Lauto accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;, established patient outpatient office visit, osteopathic manipulative treatment, 9-10 body regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

107 North Ocean Avenue
Suite A

Patchogue, NY 117722012

Telephone 6314754515

Fax 6314759846

Medicare Profile & Education

Medical School

University Of New England, College Of Osteo Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Patchogue, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +19.1 yrs vs City Avg

City Avg: 22.9 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

25 Specialists

Practicing in Patchogue, NY (12979 Statewide)

Telehealth Adoption Rate

16.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

28.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lauto (42 Years) 42 Yrs

Patchogue Specialty Average (22.9 Years) 22.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	713	65	$50.35	$36.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	407	64	$230.00	$205.33
98929 Osteopathic manipulative treatment, 9-10 body regions	80	23	$120.00	$94.66
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	57	33	$49.47	$18.23
G0008 Administration of influenza virus vaccine	55	53	$49.82	$37.09
G0442 Annual alcohol misuse screening, 5 to 15 minutes	55	55	$50.00	$21.69
G0444 Annual depression screening, 5 to 15 minutes	52	52	$50.00	$21.62
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	48	48	$50.00	$28.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$250.00	$147.16
99443 Telephone medical discussion with physician, 21-30 minutes	40	24	$211.50	$145.67
90661 Influenza vaccine, trivalent derived from cell cultures	35	35	$45.14	$36.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	20	$192.90	$145.70
99497 Advance care planning, first 30 minutes	22	21	$106.36	$91.84
90653 Vaccine for influenza for injection into muscle	18	18	$100.00	$81.82
36415 Insertion of needle into vein for collection of blood sample	14	11	$20.00	$8.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	442	66	$50.34	$36.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	413	70	$229.98	$207.56
98929 Osteopathic manipulative treatment, 9-10 body regions	61	21	$120.00	$96.01
G0442 Annual alcohol misuse screening, 5 to 15 minutes	58	58	$50.00	$21.57
G0444 Annual depression screening, 5 to 15 minutes	57	57	$50.00	$21.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	30	$192.50	$148.43
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	55	55	$50.00	$30.12
G0008 Administration of influenza virus vaccine	51	51	$50.00	$35.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$256.40	$148.98
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	33	33	$41.82	$33.49
99443 Telephone medical discussion with physician, 21-30 minutes	32	20	$207.50	$146.75
99497 Advance care planning, first 30 minutes	27	25	$109.63	$94.55
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	20	12	$50.00	$29.71
81002 Urinalysis, manual test	19	13	$23.16	$3.41
90662 Influenza vaccine split virus, preservative free	18	18	$100.00	$71.93
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$159.38	$105.41
36415 Insertion of needle into vein for collection of blood sample	15	13	$20.00	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	392	69	$230.00	$215.39
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	238	57	$50.21	$39.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	36	$180.00	$151.73
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	60	60	$50.00	$31.61
G0442 Annual alcohol misuse screening, 5 to 15 minutes	56	56	$50.00	$22.36
G0008 Administration of influenza virus vaccine	54	54	$50.00	$35.29
98929 Osteopathic manipulative treatment, 9-10 body regions	51	16	$120.00	$100.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$250.00	$154.26
G0444 Annual depression screening, 5 to 15 minutes	46	46	$50.00	$21.96
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	36	36	$40.00	$31.63
99443 Telephone medical discussion with physician, 21-30 minutes	35	22	$213.14	$151.24
99213 Established patient office or other outpatient visit, typically 15 minutes	26	18	$140.00	$109.03
99497 Advance care planning, first 30 minutes	24	24	$110.00	$99.45
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$60.00	$17.65
81002 Urinalysis, manual test	20	11	$30.50	$3.44
90662 Influenza vaccine split virus, preservative free	18	18	$100.00	$68.54
99358 Prolonged patient service without direct patient contact first hour	16	12	$156.25	$128.57
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	15	11	$62.00	$31.50
36415 Insertion of needle into vein for collection of blood sample	15	11	$20.00	$2.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	411	72	$231.09	$217.58
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	203	52	$50.74	$39.78
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	168	23	$90.00	$81.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	50	$180.49	$155.76
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	77	24	$70.00	$51.66
98929 Osteopathic manipulative treatment, 9-10 body regions	71	22	$120.00	$101.89
99213 Established patient office or other outpatient visit, typically 15 minutes	68	31	$124.71	$109.92
G0442 Annual alcohol misuse screening, 5 to 15 minutes	61	61	$52.46	$22.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	58	20	$120.00	$106.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$232.14	$158.29
G0008 Administration of influenza virus vaccine	55	55	$50.00	$20.38
G0444 Annual depression screening, 5 to 15 minutes	52	52	$50.00	$22.45
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	51	51	$50.00	$32.14
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	47	47	$40.00	$29.94
99443 Telephone medical discussion with physician, 21-30 minutes	24	19	$186.67	$156.76
99497 Advance care planning, first 30 minutes	23	23	$114.35	$100.88
81002 Urinalysis, manual test	21	18	$20.00	$3.48
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$62.63	$18.33
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	18	13	$50.00	$32.14
99306 Initial nursing facility visit, typically 45 minutes per day	17	16	$250.00	$194.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$100.00	$63.73
99358 Prolonged patient service without direct patient contact first hour	15	14	$190.00	$131.33
99496 Transitional care management services for problem of high complexity	15	12	$350.00	$332.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	318	75	$140.00	$128.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	262	38	$90.23	$81.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	176	58	$190.00	$172.97
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	148	28	$70.14	$51.47
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	92	24	$120.54	$106.41
99443 Telephone medical discussion with physician, 21-30 minutes	92	41	$140.76	$129.63
99213 Established patient office or other outpatient visit, typically 15 minutes	87	43	$100.00	$89.14
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	71	29	$50.00	$30.73
G0442 Annual alcohol misuse screening, 5 to 15 minutes	70	70	$49.14	$21.50
99354 Prolonged office or other outpatient service first hour	69	33	$200.00	$151.79
G0444 Annual depression screening, 5 to 15 minutes	69	69	$51.30	$21.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	64	64	$203.91	$136.31
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	60	60	$49.50	$30.46
G0008 Administration of influenza virus vaccine	59	59	$53.05	$19.75
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	59	59	$40.17	$29.23
98929 Osteopathic manipulative treatment, 9-10 body regions	45	13	$120.44	$101.72
99358 Prolonged patient service without direct patient contact first hour	37	20	$197.30	$130.64
99497 Advance care planning, first 30 minutes	32	32	$120.16	$99.69
93000 Routine ekg using at least 12 leads including interpretation and report	28	25	$60.00	$20.75
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	26	15	$170.00	$156.35
99306 Initial nursing facility visit, typically 45 minutes per day	19	17	$250.53	$194.74
99316 Nursing facility discharge management, more than 30 minutes	17	15	$150.00	$122.46
81002 Urinalysis, manual test	15	12	$152.00	$3.44
82270 Stool analysis for blood to screen for colon tumors	14	14	$20.00	$4.35
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$100.00	$63.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	460	84	$139.99	$123.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	339	36	$90.00	$79.17
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	188	34	$70.11	$50.46
99213 Established patient office or other outpatient visit, typically 15 minutes	137	53	$100.00	$85.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	108	49	$190.00	$164.90
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	103	36	$54.65	$29.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	96	26	$120.52	$105.19
98929 Osteopathic manipulative treatment, 9-10 body regions	87	27	$121.15	$98.59
G0442 Annual alcohol misuse screening, 5 to 15 minutes	73	73	$48.77	$21.05
G0444 Annual depression screening, 5 to 15 minutes	72	72	$49.17	$21.07
81002 Urinalysis, manual test	70	52	$20.00	$3.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$211.36	$134.97
G0008 Administration of influenza virus vaccine	65	65	$49.85	$19.35
99354 Prolonged office or other outpatient service first hour	61	29	$199.18	$149.27
93000 Routine ekg using at least 12 leads including interpretation and report	59	53	$61.19	$20.25
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	56	56	$40.89	$18.65
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	50	50	$50.00	$30.05
99497 Advance care planning, first 30 minutes	39	37	$100.51	$97.40
99306 Initial nursing facility visit, typically 45 minutes per day	28	23	$252.50	$190.22
36415 Insertion of needle into vein for collection of blood sample	25	13	$20.00	$2.94
98928 Osteopathic manipulative treatment, 7-8 body regions	19	13	$101.05	$82.50
82270 Stool analysis for blood to screen for colon tumors	15	15	$20.00	$4.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$100.00	$62.14
99316 Nursing facility discharge management, more than 30 minutes	12	11	$147.50	$120.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	486	92	$140.10	$119.05
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	463	36	$89.98	$77.20
99213 Established patient office or other outpatient visit, typically 15 minutes	194	72	$100.21	$82.23
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	106	27	$120.00	$102.07
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	103	19	$70.19	$49.51
93000 Routine ekg using at least 12 leads including interpretation and report	87	72	$59.54	$19.57
81002 Urinalysis, manual test	86	60	$20.93	$3.33
G0442 Annual alcohol misuse screening, 5 to 15 minutes	73	73	$49.59	$20.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$204.11	$131.48
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	70	33	$50.71	$28.59
G0444 Annual depression screening, 5 to 15 minutes	67	67	$49.55	$20.33
G0008 Administration of influenza virus vaccine	67	66	$49.85	$23.65
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	66	66	$43.48	$18.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	34	$190.00	$160.76
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	59	59	$50.00	$28.56
98928 Osteopathic manipulative treatment, 7-8 body regions	44	18	$100.23	$80.60
99497 Advance care planning, first 30 minutes	42	41	$100.00	$93.62
98929 Osteopathic manipulative treatment, 9-10 body regions	35	12	$120.00	$96.14
36415 Insertion of needle into vein for collection of blood sample	33	22	$20.00	$2.94
99306 Initial nursing facility visit, typically 45 minutes per day	28	22	$250.71	$184.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	15	$49.62	$23.38
94200 Test to measure largest amount of air breathed in an out	22	13	$97.95	$32.32
G0009 Administration of pneumococcal vaccine	20	20	$50.00	$24.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	18	$100.00	$60.78
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	19	13	$170.26	$151.35
99316 Nursing facility discharge management, more than 30 minutes	18	16	$150.00	$117.73
82270 Stool analysis for blood to screen for colon tumors	16	16	$20.00	$4.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$158.46	$105.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$60.00	$50.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	482	98	$140.10	$118.91
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	472	53	$108.86	$76.82
99213 Established patient office or other outpatient visit, typically 15 minutes	320	92	$100.22	$81.28
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	143	38	$70.35	$49.51
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	134	37	$128.21	$101.35
81002 Urinalysis, manual test	91	61	$20.00	$3.39
93000 Routine ekg using at least 12 leads including interpretation and report	85	75	$60.00	$19.34
G0442 Annual alcohol misuse screening, 5 to 15 minutes	83	83	$50.00	$20.33
98928 Osteopathic manipulative treatment, 7-8 body regions	79	25	$101.39	$77.42
G0444 Annual depression screening, 5 to 15 minutes	78	78	$49.62	$20.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$206.54	$130.06
36415 Insertion of needle into vein for collection of blood sample	65	41	$21.23	$2.89
G0008 Administration of influenza virus vaccine	62	62	$50.00	$29.93
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	61	29	$50.82	$28.56
99497 Advance care planning, first 30 minutes	54	54	$100.00	$89.33
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	54	54	$50.00	$17.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	30	$192.12	$156.89
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	51	51	$50.00	$28.56
99306 Initial nursing facility visit, typically 45 minutes per day	41	33	$246.34	$184.00
82270 Stool analysis for blood to screen for colon tumors	35	35	$19.77	$4.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	14	$49.23	$28.03
G0009 Administration of pneumococcal vaccine	22	22	$50.00	$29.93
99316 Nursing facility discharge management, more than 30 minutes	22	20	$150.00	$117.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$60.00	$49.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	18	$100.00	$60.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$141.33	$92.80
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$265.38	$190.78
99496 Transitional care management services for problem of high complexity	12	11	$304.17	$258.89
94200 Test to measure largest amount of air breathed in an out	11	11	$110.45	$27.56

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 1741251

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01080895 (NY)

Commercial Insurance / Payer ID Blue Cross

22E071 (NY)

Commercial Insurance / Payer ID Oxford

P369730 (NY)

Commercial Insurance / Payer ID Vytra

2417 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 107 NORTH OCEAN AVENUE, SUITE A, PATCHOGUE, NY 117722012 (Tel: 6314754515)

📍

Updated Business Mailing Address July 08, 2007

Registered at 107 NORTH OCEAN AVENUE, SUITE A, PATCHOGUE, NY 117722012 (Tel: 6314754515)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL LAUTO, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #1741251 in NY)

🟢

Initial NPI Registration & Enumeration November 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447339270

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 03, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

107 North Ocean Avenue, Suite A

Patchogue, NY 117722012

Phone: 6314754515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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