North Suffolk Family Medical Care Pllc | |
4 Technology Dr Suite 210 East Setauket NY 11733-4068 | |
(631) 331-1506 | |
(631) 331-1705 |
Full Name | North Suffolk Family Medical Care Pllc |
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Speciality | Family Medicine - Adult Medicine |
Location | 4 Technology Dr, East Setauket, New York |
Authorized Official Name and Position | Deborah Susan Schiller (ADMINISTDRATOR) |
Authorized Official Contact | 6313311506 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Suffolk Family Medical Care Pllc 4 Technology Dr Suite 210 East Setauket NY 11733-4068 Ph: (631) 331-1506 | North Suffolk Family Medical Care Pllc 4 Technology Dr Suite 210 East Setauket NY 11733-4068 Ph: (631) 331-1506 |
NPI Number | 1174702229 |
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Provider Enumeration Date | 10/25/2007 |
Last Update Date | 05/09/2011 |
Identifier | Type | State | Issuer |
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1174702229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | 211383 (New York) | Primary |
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