| Port Jeff Medical Care, Pc | |
|
410 Hallock Ave Port Jefferson Station NY 11776-1232 | |
| (631) 642-1100 | |
| (631) 642-1190 |
| Full Name | Port Jeff Medical Care, Pc |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 410 Hallock Ave, Port Jefferson Station, New York |
| Authorized Official Name and Position | Robert Mormando (PRESIDENT/CEO) |
| Authorized Official Contact | 6316422025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Jeff Medical Care, Pc 410 Hallock Ave Port Jefferson Station NY 11776-1232 Ph: (631) 642-1100 | Port Jeff Medical Care, Pc 410 Hallock Ave Port Jefferson Station NY 11776-1232 Ph: (631) 642-1100 |
| NPI Number | 1215952072 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215952072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200407 (New York) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 178674 (New York) | Primary |
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