| Main St. Med Care Pc | |
|
475 E Main St Suite 103-105 Patchogue NY 11772-3121 | |
| (631) 447-6100 | |
| (631) 447-6126 |
| Full Name | Main St. Med Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 475 E Main St, Patchogue, New York |
| Authorized Official Name and Position | Kristen Laird (ADMINISTRATOR) |
| Authorized Official Contact | 6314476100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main St. Med Care Pc 475 E Main St Suite 103-105 Patchogue NY 11772-3121 Ph: (631) 447-6100 | Main St. Med Care Pc 475 E Main St Suite 103-105 Patchogue NY 11772-3121 Ph: (631) 447-6100 |
| NPI Number | 1407889389 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407889389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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