Eastern Island Medical Care Pc

NPI 1366484750 - Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X

NPI Details
NPI 1366484750
Enumeration Date 06/12/2006
Last Updated 10/19/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SCOTT SCOTT
Position MEDICAL DIRECTOR/OWNER
Phone (631) 231-5200
Fax (631) 231-4431
Practice Location
1646 BRENTWOOD RD
BRENTWOOD NY, 11717-5534, US
Phone (631) 231-5200
Fax (631) 231-4431
Business Location
1646 BRENTWOOD RD
BRENTWOOD NY, 11717-5534, US
Phone (631) 231-5200
Fax (631) 231-4431
Toxanomy
Taxonomy Code 204C00000X
License State New York
License Number 173040
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According to our database, Eastern Island Medical Care Pc NPI is 1366484750, taxonomy code is 204C00000X and license number is 173040, license state is located at New York. Eastern Island Medical Care Pc physically located at 1646 Brentwood Rd, Brentwood NY, 11717-5534. NPI Number 1033115704 has the healthcare provider type.

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1366484750 NPI number is provided on an as is basis without warranty of any kind. 1366484750 is maintained by the National Plan & Provider Enumeration System. The contents of Eastern Island Medical Care Pc are for informational purposes only.