South Fork Medical Associates Pc

NPI 1144288077 - Internal Medicine - 207R00000X

NPI Details
NPI 1144288077
Enumeration Date 05/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL B MICHAEL
Position PRACTICES MANAGING MEMBER
Phone (631) 283-2100
Fax (631) 283-5731
Practice Location
238 OLD TOWN ROAD
SOUTHAMPTON NY, 11968, US
Phone (631) 283-2100
Fax (631) 283-5731
Business Location
PO BOX 2340
SOUTHAMPTON NY, 11969-2340, US
Phone (631) 283-2100
Fax (631) 283-5731
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
Remove 1144288077 NPI Number
 

According to our database, South Fork Medical Associates Pc NPI is 1144288077, taxonomy code is 207R00000X South Fork Medical Associates Pc physically located at 238 Old Town Road, Southampton NY, 11968. NPI Number 1033115704 has the healthcare provider type.

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1144288077 NPI number is provided on an as is basis without warranty of any kind. 1144288077 is maintained by the National Plan & Provider Enumeration System. The contents of South Fork Medical Associates Pc are for informational purposes only.