Eastern Long Island Family Medicine Pc

NPI 1003089640 - Family Medicine - 207Q00000X

NPI Details
NPI 1003089640
Enumeration Date 04/03/2008
Last Updated 10/23/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHRISTOPHER CHRISTOPHER
Position PRESIDENT
Phone (631) 751-3883
Fax (631) 751-3909
Practice Location
100 S JERSEY AVE
SUITE 14
EAST SETAUKET NY, 11733-2034, US
Phone (631) 751-3883
Fax (631) 751-3909
Business Location
100 S JERSEY AVE
SUITE 14
EAST SETAUKET NY, 11733-2034, US
Phone (631) 751-3883
Fax (631) 751-3909
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 211195
Remove 1003089640 NPI Number
 

According to our database, Eastern Long Island Family Medicine Pc NPI is 1003089640, taxonomy code is 207Q00000X and license number is 211195, license state is located at New York. Eastern Long Island Family Medicine Pc physically located at 100 S Jersey Ave, East Setauket NY, 11733-2034. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1003089640 NPI number is provided on an as is basis without warranty of any kind. 1003089640 is maintained by the National Plan & Provider Enumeration System. The contents of Eastern Long Island Family Medicine Pc are for informational purposes only.