| Macro Medical Diagnostics, Pc | |
|
464 Main St Suite B Port Jefferson NY 11777-2814 | |
| (631) 331-4268 | |
| (631) 331-4459 |
| Full Name | Macro Medical Diagnostics, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 464 Main St, Port Jefferson, New York |
| Authorized Official Name and Position | Scott Mcwilliams (DIRECTOR) |
| Authorized Official Contact | 6313314268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macro Medical Diagnostics, Pc Po Box 547 Port Jefferson NY 11777-0547 Ph: (631) 331-4268 | Macro Medical Diagnostics, Pc 464 Main St Suite B Port Jefferson NY 11777-2814 Ph: (631) 331-4268 |
| NPI Number | 1437389582 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 07/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437389582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 208276 (New York) | Primary |
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