| Family Medicine Of Li Pc | |
|
3650 Route 112 Suite 101 Coram NY 11727-4131 | |
| (631) 320-3200 | |
| (631) 880-7603 |
| Full Name | Family Medicine Of Li Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3650 Route 112, Coram, New York |
| Authorized Official Name and Position | Ronan Monsef (PRESIDENT) |
| Authorized Official Contact | 6313203200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Li Pc 3650 Route 112 Suite 101 Coram NY 11727-4131 Ph: (631) 320-3200 | Family Medicine Of Li Pc 3650 Route 112 Suite 101 Coram NY 11727-4131 Ph: (631) 320-3200 |
| NPI Number | 1114292802 |
|---|---|
| Provider Enumeration Date | 03/14/2012 |
| Last Update Date | 03/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114292802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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