| James E. Carlson D.o., P.c. | |
|
815 Hallock Ave Suite B Port Jefferson Station NY 11776-1220 | |
| (631) 928-9355 | |
| Not Available |
| Full Name | James E. Carlson D.o., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 815 Hallock Ave, Port Jefferson Station, New York |
| Authorized Official Name and Position | James E Carlson (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6319289355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James E. Carlson D.o., P.c. 815 Hallock Ave Suite B Port Jefferson Station NY 11776-1220 Ph: () - | James E. Carlson D.o., P.c. 815 Hallock Ave Suite B Port Jefferson Station NY 11776-1220 Ph: (631) 928-9355 |
| NPI Number | 1851565741 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851565741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 204062 (New York) | Primary |
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