| Family Medical Care Of Long Island, P.c. | |
|
227 Mount Pleasant Rd Hauppauge NY 11788-2709 | |
| (631) 360-3442 | |
| (631) 360-3317 |
| Full Name | Family Medical Care Of Long Island, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 227 Mount Pleasant Rd, Hauppauge, New York |
| Authorized Official Name and Position | Orlando Vic. Bautista (PRESIDENT) |
| Authorized Official Contact | 6313603442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care Of Long Island, P.c. 227 Mount Pleasant Rd Hauppauge NY 11788-2709 Ph: (631) 360-3442 | Family Medical Care Of Long Island, P.c. 227 Mount Pleasant Rd Hauppauge NY 11788-2709 Ph: (631) 360-3442 |
| NPI Number | 1619090818 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619090818 | NPI | - | NPPES |
| 00715173 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 147898 (New York) | Primary |
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