| |
694 Motor Pkwy Suite 101 Hauppauge NY 11788-5175 | |
(631) 265-9355 | |
(631) 864-8504 |
Full Name | |
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Speciality | Family Medicine |
Location | 694 Motor Pkwy, Hauppauge, New York |
Authorized Official Name and Position | Roxanne G Carfora (PHYSICIAN/MEDICAL DIRECTOR) |
Authorized Official Contact | 6312659355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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694 Motor Pkwy Suite 101 Hauppauge NY 11788-5175 Ph: (631) 265-9355 | 694 Motor Pkwy Suite 101 Hauppauge NY 11788-5175 Ph: (631) 265-9355 |
NPI Number | 1962830851 |
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Provider Enumeration Date | 10/31/2013 |
Last Update Date | 04/14/2014 |
Identifier | Type | State | Issuer |
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1962830851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 186098 (New York) | Primary |
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