Port Jeff Medicine, P.c. | |
2 Medical Dr Ste D Port Jeff Sta NY 11776-1598 | |
(631) 331-5010 | |
(631) 331-5017 |
Full Name | Port Jeff Medicine, P.c. |
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Speciality | Internal Medicine |
Location | 2 Medical Dr Ste D, Port Jeff Sta, New York |
Authorized Official Name and Position | Deepti Gupta (PRESIDENT/OWNER) |
Authorized Official Contact | 6313315010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Port Jeff Medicine, P.c. 2 Medical Dr Ste D Port Jefferson Station NY 11776-1598 Ph: (631) 331-5010 | Port Jeff Medicine, P.c. 2 Medical Dr Ste D Port Jeff Sta NY 11776-1598 Ph: (631) 331-5010 |
NPI Number | 1346770484 |
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Provider Enumeration Date | 06/12/2017 |
Last Update Date | 06/19/2017 |
Identifier | Type | State | Issuer |
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1346770484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 196816 (New York) | Primary |
Harvey Steven Schwartzberg Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18 Roosevelt Ave, Port Jeff Sta, NY 11776 Phone: 631-928-3327 Fax: 631-828-5505 |