| Cbmc | |
|
750 Fulton Street Farmingdale NY 11735 | |
| (631) 249-2765 | |
| (631) 249-3617 |
| Full Name | Cbmc |
|---|---|
| Speciality | General Practice |
| Location | 750 Fulton Street, Farmingdale, New York |
| Authorized Official Name and Position | Martin A Chrisphonte (SECRETARY CBMS) |
| Authorized Official Contact | 6312492765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cbmc 750 Fulton Street Farmingdale NY 11735 Ph: (631) 249-2765 | Cbmc 750 Fulton Street Farmingdale NY 11735 Ph: (631) 249-2765 |
| NPI Number | 1972671592 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 06/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972671592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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