| Mi Medical Pllc | |
|
3279 Veterans Memorial Hwy Ste 5 Ronkonkoma NY 11779-7673 | |
| (631) 737-4949 | |
| Not Available |
| Full Name | Mi Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3279 Veterans Memorial Hwy Ste 5, Ronkonkoma, New York |
| Authorized Official Name and Position | Myles Ivan Rosenthal (OWNER) |
| Authorized Official Contact | 6317374949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Medical Pllc 3279 Veterans Memorial Hwy Ste 5 Ronkonkoma NY 11779-7673 Ph: (631) 737-4949 | Mi Medical Pllc 3279 Veterans Memorial Hwy Ste 5 Ronkonkoma NY 11779-7673 Ph: (631) 737-4949 |
| NPI Number | 1396925947 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396925947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 154360 (New York) | Primary |
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