OrganizationWinthrop Faculty Medical Affiliates University Faculty Practice Corpor(North Merrick Family Practice)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address951 Merrick Ave, North Merrick, NY 11566-1001(516) 489-6433PECOS EnrollmentBased on the most recent information from CMS, provider Winthrop Faculty Medical Affiliates University Faculty Practice Corpor does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1730596149Provider TypeOrganizationFull NameWinthrop Faculty Medical Affiliates University Faculty Practice CorporOther NameNorth Merrick Family PracticeSubpartNoEnumeration Date7/17/2014Last Updated6/25/2015Contact InformationPractice LocationPractice Address951 Merrick Ave, North Merrick, NY 11566-1001Phone(516) 489-6433FaxUnlisted FaxMailing LocationMailing Address700 Hicksville Rd, Suite 204, Bethpage, NY 11714-3471PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameGreco, Joseph J (Co-President)Phone(516) 663-2216Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer