Red Shirt Medical Associates, Pc

NPI 1184028292 - Anesthesiology - 207L00000X

NPI Details
NPI 1184028292
Enumeration Date 10/17/2014
Last Updated 10/17/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JESSICA JESSICA
Position ACCOUNT EXECUTIVE
Phone (347) 417-9081
Fax (718) 732-2434
Practice Location
931 HALLOCK AVE
PORT JEFFERSON STATION NY, 11776-1228, US
Phone (347) 417-9081
Fax (718) 732-2434
Business Location
PO BOX 992
PORT JEFFERSON STATION NY, 11776-0845, US
Phone (347) 417-9081
Fax
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Red Shirt Medical Associates, Pc NPI is 1184028292, taxonomy code is 207L00000X Red Shirt Medical Associates, Pc physically located at 931 Hallock Ave, Port Jefferson Station NY, 11776-1228. NPI Number 1033115704 has the healthcare provider type.

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1184028292 NPI number is provided on an as is basis without warranty of any kind. 1184028292 is maintained by the National Plan & Provider Enumeration System. The contents of Red Shirt Medical Associates, Pc are for informational purposes only.