| Patchogue Medical PC | |
|
100 N Centre Ave Rockville Centre NY 11570-3937 | |
| (646) 504-3116 | |
| Not Available |
| Full Name | Patchogue Medical PC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 100 N Centre Ave, Rockville Centre, New York |
| Authorized Official Name and Position | Michele Davis (PARTNER) |
| Authorized Official Contact | 9084515362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patchogue Medical PC 244 5th Ave Ste V273 New York NY 10001-7604 | Patchogue Medical PC 100 N Centre Ave Rockville Centre NY 11570-3937 Ph: (646) 504-3116 |
| NPI Number | 1982335907 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982335907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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