Patchogue Medical Services, Pc | |
202 E Main St Patchogue NY 11772-3159 | |
(631) 207-0083 | |
(631) 207-1275 |
Full Name | Patchogue Medical Services, Pc |
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Speciality | Family Medicine |
Location | 202 E Main St, Patchogue, New York |
Authorized Official Name and Position | Matthew J Viso (MANAGER) |
Authorized Official Contact | 6317515588 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Patchogue Medical Services, Pc 1890 New York Ave Huntington Station NY 11746-2904 Ph: (631) 427-6920 | Patchogue Medical Services, Pc 202 E Main St Patchogue NY 11772-3159 Ph: (631) 207-0083 |
NPI Number | 1891850442 |
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Provider Enumeration Date | 12/26/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891850442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 183817 (New York) | Primary |
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