All Island Med Assoc Pc

NPI 1053508994 - Family Medicine - 207Q00000X

NPI Details
NPI 1053508994
Enumeration Date 09/25/2007
Last Updated 01/02/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SARETH SARETH
Position PROPRIETOR
Phone (631) 589-7787
Fax (631) 589-3908
Practice Location
1099 SMITHTOWN AVE
BOHEMIA NY, 11716-2127, US
Phone (631) 589-7787
Fax (631) 589-3908
Business Location
PO BOX 447
BOHEMIA NY, 11716-0447, US
Phone (631) 589-7787
Fax (631) 589-3908
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 194215-1
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According to our database, All Island Med Assoc Pc NPI is 1053508994, taxonomy code is 207Q00000X and license number is 194215-1, license state is located at New York. All Island Med Assoc Pc physically located at 1099 Smithtown Ave, Bohemia NY, 11716-2127. NPI Number 1033115704 has the healthcare provider type.

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1053508994 NPI number is provided on an as is basis without warranty of any kind. 1053508994 is maintained by the National Plan & Provider Enumeration System. The contents of All Island Med Assoc Pc are for informational purposes only.