| Island Medical Of Medford, Llp | |
|
1647 Route 112 Medford NY 11763-3635 | |
| (631) 758-2220 | |
| (631) 758-8355 |
| Full Name | Island Medical Of Medford, Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 1647 Route 112, Medford, New York |
| Authorized Official Name and Position | Lissette Cepeda (OFFICE MANAGER) |
| Authorized Official Contact | 6317582220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Medical Of Medford, Llp 1647 Route 112 Medford NY 11763-3635 Ph: (631) 758-2220 | Island Medical Of Medford, Llp 1647 Route 112 Medford NY 11763-3635 Ph: (631) 758-2220 |
| NPI Number | 1316160658 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316160658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 143200 (New York) | Primary |
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