Ronkonkoma Medical Pc

NPI 1124468269 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1124468269
Enumeration Date 07/03/2013
Last Updated 08/08/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PATRICK PATRICK
Position OWNER
Phone (631) 472-6000
Fax
Practice Location
382 ROSEVALE AVE
RONKONKOMA NY, 11779-3069, US
Phone (631) 472-6000
Fax
Business Location
382 ROSEVALE AVE
RONKONKOMA NY, 11779-3069, US
Phone
Fax
Toxanomy
Taxonomy Code 208100000X
License State
License Number
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According to our database, Ronkonkoma Medical Pc NPI is 1124468269, taxonomy code is 208100000X Ronkonkoma Medical Pc physically located at 382 Rosevale Ave, Ronkonkoma NY, 11779-3069. NPI Number 1033115704 has the healthcare provider type.

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1124468269 NPI number is provided on an as is basis without warranty of any kind. 1124468269 is maintained by the National Plan & Provider Enumeration System. The contents of Ronkonkoma Medical Pc are for informational purposes only.