| Medicenter | |
|
365 W Jericho Tpke Huntington NY 11743-6362 | |
| (631) 423-5400 | |
| (631) 423-5423 |
| Full Name | Medicenter |
|---|---|
| Speciality | Internal Medicine |
| Location | 365 W Jericho Tpke, Huntington, New York |
| Authorized Official Name and Position | Robert E. Scully (PRESIDENT) |
| Authorized Official Contact | 6314235400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicenter 365 W Jericho Tpke Huntington NY 11743-6362 Ph: (631) 423-5400 | Medicenter 365 W Jericho Tpke Huntington NY 11743-6362 Ph: (631) 423-5400 |
| NPI Number | 1831242668 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831242668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 164326 (New York) | Primary |
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