St James Medical Services Pc | |
487 Lake Ave St James NY 11780 | |
(631) 584-6014 | |
(631) 584-6098 |
Full Name | St James Medical Services Pc |
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Speciality | Family Medicine |
Location | 487 Lake Ave, St James, New York |
Authorized Official Name and Position | Emrick Richard Milligan (DOCTOR) |
Authorized Official Contact | 6315846014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St James Medical Services Pc 487 Lake Ave Po Box 624 St James NY 11780 Ph: (631) 584-6014 | St James Medical Services Pc 487 Lake Ave St James NY 11780 Ph: (631) 584-6014 |
NPI Number | 1164699138 |
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Provider Enumeration Date | 05/09/2008 |
Last Update Date | 05/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164699138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 170642 (New York) | Primary |
Long Island Family Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 631 Lake Ave, St James, NY 11780 Phone: 631-878-7134 Fax: 631-878-5118 |