| Southwest Suffolk, P.c | |
|
48 Route 25a Suite 210 Smithtown NY 11787-1431 | |
| (631) 465-6225 | |
| Not Available |
| Full Name | Southwest Suffolk, P.c |
|---|---|
| Speciality | Family Medicine |
| Location | 48 Route 25a, Smithtown, New York |
| Authorized Official Name and Position | Lori Hummel (DIRECTOR) |
| Authorized Official Contact | 6314656001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Suffolk, P.c 48 Route 25a Suite 210 Smithtown NY 11787-1431 Ph: () - | Southwest Suffolk, P.c 48 Route 25a Suite 210 Smithtown NY 11787-1431 Ph: (631) 465-6225 |
| NPI Number | 1730428467 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 01/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730428467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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