| Farmingville Medical Care, Pllc | |
|
445 Broadhollow Rd Ste 25 Melville NY 11747-3645 | |
| (631) 202-9011 | |
| (503) 386-2841 |
| Full Name | Farmingville Medical Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 445 Broadhollow Rd Ste 25, Melville, New York |
| Authorized Official Name and Position | Arary B Canavarros (OWNER) |
| Authorized Official Contact | 6312029011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farmingville Medical Care, Pllc 445 Broadhollow Rd Ste 25 Melville NY 11747-3645 Ph: (631) 202-9011 | Farmingville Medical Care, Pllc 445 Broadhollow Rd Ste 25 Melville NY 11747-3645 Ph: (631) 202-9011 |
| NPI Number | 1972652576 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 11/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972652576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 222080-1 (New York) | Primary |
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