| James Robert Powell, Md Pllc | |
|
60 Buccaneer Ln Setauket NY 11733-1968 | |
| (631) 431-5288 | |
| (631) 675-0692 |
| Full Name | James Robert Powell, Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 60 Buccaneer Ln, Setauket, New York |
| Authorized Official Name and Position | James Robert Powell (PHYSICIAN) |
| Authorized Official Contact | 6314315288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Robert Powell, Md Pllc 60 Buccaneer Ln Setauket NY 11733-1968 Ph: (631) 431-5288 | James Robert Powell, Md Pllc 60 Buccaneer Ln Setauket NY 11733-1968 Ph: (631) 431-5288 |
| NPI Number | 1841381191 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 11/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841381191 | NPI | - | NPPES |
| 02109406 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 217923 (New York) | Primary |
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