| Steven G Selter Md | |
|
102 Prospect St Port Jefferson NY 11777-1813 | |
| (631) 473-0611 | |
| (631) 642-1617 |
| Full Name | Steven G Selter Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 102 Prospect St, Port Jefferson, New York |
| Authorized Official Name and Position | Christine Hegemeister (BILLING COORDINATOR) |
| Authorized Official Contact | 5168689777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven G Selter Md 102 Prospect St Port Jefferson NY 11777-1813 Ph: (631) 473-0611 | Steven G Selter Md 102 Prospect St Port Jefferson NY 11777-1813 Ph: (631) 473-0611 |
| NPI Number | 1629248786 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629248786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 139173 (New York) | Primary |
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