Tri-v Medical, Pc

NPI 1073678629 - Internal Medicine - 207R00000X

NPI Details
NPI 1073678629
Enumeration Date 12/26/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MATTHEW J MATTHEW
Position MANAGER
Phone (631) 499-0022
Fax (631) 425-0653
Practice Location
232 DALY RD
EAST NORTHPORT NY, 11731-6325, US
Phone (631) 499-0022
Fax (631) 425-0653
Business Location
1890 NEW YORK AVE
HUNTINGTON STATION NY, 11746-2904, US
Phone (631) 427-6920
Fax (631) 425-0653
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 103139
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According to our database, Tri-v Medical, Pc NPI is 1073678629, taxonomy code is 207R00000X and license number is 103139, license state is located at New York. Tri-v Medical, Pc physically located at 232 Daly Rd, East Northport NY, 11731-6325. NPI Number 1033115704 has the healthcare provider type.

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1073678629 NPI number is provided on an as is basis without warranty of any kind. 1073678629 is maintained by the National Plan & Provider Enumeration System. The contents of Tri-v Medical, Pc are for informational purposes only.