| Patchogue Medical Group Llp | |
|
1 E Roe Blvd Patchogue NY 11772-2631 | |
| (631) 475-3900 | |
| (631) 475-5166 |
| Full Name | Patchogue Medical Group Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 E Roe Blvd, Patchogue, New York |
| Authorized Official Name and Position | Jodi Silver-smith (PRACTICE MANAGER) |
| Authorized Official Contact | 6314753900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patchogue Medical Group Llp 1 E Roe Blvd Patchogue NY 11772-2631 Ph: (631) 475-3900 | Patchogue Medical Group Llp 1 E Roe Blvd Patchogue NY 11772-2631 Ph: (631) 475-3900 |
| NPI Number | 1477743599 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 11/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477743599 | NPI | - | NPPES |
| 03680820 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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