| Three Village Medical, Pc | |
|
207 Hallock Rd Suite 160 Stony Brook NY 11790-3033 | |
| (631) 751-5588 | |
| (631) 751-5821 |
| Full Name | Three Village Medical, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 207 Hallock Rd, Stony Brook, 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 |
|---|---|
| Three Village Medical, Pc 1890 New York Ave Huntington Station NY 11746-2904 Ph: (631) 427-6920 | Three Village Medical, Pc 207 Hallock Rd Suite 160 Stony Brook NY 11790-3033 Ph: (631) 751-5588 |
| NPI Number | 1588728125 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588728125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 103139 (New York) | Primary |
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