Nassau Suffolk Medical Practice, P.c.

NPI 1417998352 - Family Medicine - 207Q00000X

NPI Details
NPI 1417998352
Enumeration Date 06/10/2006
Last Updated 08/26/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANI A ANI
Position OWNER
Phone (631) 422-3636
Fax (631) 422-2788
Practice Location
120 ROUTE 109
WEST BABYLON NY, 11704-6210, US
Phone (631) 422-3636
Fax (631) 422-2788
Business Location
120 ROUTE 109
WEST BABYLON NY, 11704-6210, US
Phone (631) 422-3636
Fax (631) 422-2788
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Nassau Suffolk Medical Practice, P.c. NPI is 1417998352, taxonomy code is 207Q00000X Nassau Suffolk Medical Practice, P.c. physically located at 120 Route 109, West Babylon NY, 11704-6210. NPI Number 1033115704 has the healthcare provider type.

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1417998352 NPI number is provided on an as is basis without warranty of any kind. 1417998352 is maintained by the National Plan & Provider Enumeration System. The contents of Nassau Suffolk Medical Practice, P.c. are for informational purposes only.