| East Meadow Family Practice Assoc Pc | |
|
2840 Jerusalem Ave Wantagh NY 11793-2017 | |
| (516) 781-1141 | |
| (516) 781-1184 |
| Full Name | East Meadow Family Practice Assoc Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2840 Jerusalem Ave, Wantagh, New York |
| Authorized Official Name and Position | Brian T Moynihan (PRESIDENT) |
| Authorized Official Contact | 5167811141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Meadow Family Practice Assoc Pc 2840 Jerusalem Ave Wantagh NY 11793-2017 Ph: (516) 781-1141 | East Meadow Family Practice Assoc Pc 2840 Jerusalem Ave Wantagh NY 11793-2017 Ph: (516) 781-1141 |
| NPI Number | 1326117110 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326117110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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