| Main Street Primary Medicine | |
|
475 E Main St Ste 103 Patchogue NY 11772-3121 | |
| (631) 447-6100 | |
| (631) 447-6126 |
| Full Name | Main Street Primary Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 475 E Main St Ste 103, Patchogue, New York |
| Authorized Official Name and Position | Christopher Garenani (PRESIDENT/OWNER) |
| Authorized Official Contact | 6314283369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Primary Medicine Po Box 993 Holbrook NY 11741-0993 Ph: (631) 447-6100 | Main Street Primary Medicine 475 E Main St Ste 103 Patchogue NY 11772-3121 Ph: (631) 447-6100 |
| NPI Number | 1932388873 |
|---|---|
| Provider Enumeration Date | 10/28/2007 |
| Last Update Date | 10/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932388873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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