| Patriot Family Medical Associates Pllc | |
|
85 Roosevelt Ave Valley Stream NY 11581-1133 | |
| (516) 791-9500 | |
| (516) 791-9510 |
| Full Name | Patriot Family Medical Associates Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 85 Roosevelt Ave, Valley Stream, New York |
| Authorized Official Name and Position | Lori Wiley (OFFICE MANAGER) |
| Authorized Official Contact | 5167919500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patriot Family Medical Associates Pllc 85 Roosevelt Ave Valley Stream NY 11581-1133 Ph: (516) 791-9500 | Patriot Family Medical Associates Pllc 85 Roosevelt Ave Valley Stream NY 11581-1133 Ph: (516) 791-9500 |
| NPI Number | 1811031776 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 06/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811031776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 212127 (New York) | Primary |
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