| Brentwood Medical Care, Pc | |
|
55 Second Ave Suite 1 Brentwood NY 11717-4611 | |
| (631) 751-5588 | |
| Not Available |
| Full Name | Brentwood Medical Care, Pc |
|---|---|
| Speciality | General Practice |
| Location | 55 Second Ave, Brentwood, New York |
| Authorized Official Name and Position | Matthew J Viso (MANAGER) |
| Authorized Official Contact | 6317515588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Medical Care, Pc 1890 New York Ave Huntington Station NY 11746-2904 Ph: (631) 427-6920 | Brentwood Medical Care, Pc 55 Second Ave Suite 1 Brentwood NY 11717-4611 Ph: (631) 751-5588 |
| NPI Number | 1417012568 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 10/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417012568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 183817 (New York) | Primary |
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