| Suffolk Medical Pc | |
|
45 W Suffolk Ave 2nd Floor Central Islip NY 11722-2156 | |
| (631) 415-4385 | |
| (631) 761-5966 |
| Full Name | Suffolk Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 45 W Suffolk Ave, Central Islip, New York |
| Authorized Official Name and Position | David Sanchez (OWNER) |
| Authorized Official Contact | 6314154385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk Medical Pc 45 W Suffolk Ave 2nd Floor Central Islip NY 11722-2156 Ph: (631) 415-4385 | Suffolk Medical Pc 45 W Suffolk Ave 2nd Floor Central Islip NY 11722-2156 Ph: (631) 415-4385 |
| NPI Number | 1588094288 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588094288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 215692-1 (New York) | Primary |
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