| Central Island Internal Medicine Pllc | |
|
202 Fallwood Pkwy Farmingdale NY 11735-4929 | |
| (516) 249-1999 | |
| (516) 249-1919 |
| Full Name | Central Island Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 202 Fallwood Pkwy, Farmingdale, New York |
| Authorized Official Name and Position | Melanie Maquine (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5168508451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Island Internal Medicine Pllc 202 Fallwood Pkwy Farmingdale NY 11735-4929 Ph: (516) 249-1999 | Central Island Internal Medicine Pllc 202 Fallwood Pkwy Farmingdale NY 11735-4929 Ph: (516) 249-1999 |
| NPI Number | 1710281043 |
|---|---|
| Provider Enumeration Date | 12/30/2010 |
| Last Update Date | 12/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710281043 | NPI | - | NPPES |
| 198062 | Other | NY | NYS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 198062 (New York) | Primary |
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