Keith Breglio

M.D. | Pediatric Gastroenterology | Male

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Complete Profile:

Keith Breglio basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	Keith Breglio
Credential :	M.D.
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Keith Breglio address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	260 E Middle Country Rd Ste 107 Smithtown, NY, 11787 United States
Phone Number :	631-979-7222
Fax Number :	631-265-7518

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1922277813
NPI Entity Type :	Individual
First Enrolment Date :	25 Feb, 2008
Last Updated On :	10 Jul, 2019

Medicare Participation:

Keith Breglio participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9335296813
Medicare Enrollment ID :	I20090421000286
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2002
Accepts Medicare?	Yes. Keith Breglio accepts medicare insurance.

Group Practice Association:

Keith Breglio is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Keith Breglio is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Stony Brook Children's Service, University Faculty Practice Corporatio	8921993551	32	500 Commack Rd Commack, NY - 117255020 Ph: 6316380150	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keith Breglio are as mentioned. Primary taxonomy code for Keith Breglio, M.D. is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	236168	NY
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	236168	NY

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	100 Nicolls Road, Hsc Level 11, Rm 080 Stony Brook, NY, 11794-8111 United States
Phone Number :	631-444-8115
Fax Number :	631-444-6045

Business Location:

Patients can refer following map for directions to Keith Breglio practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.