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The Medical Station Of North Shore Pc
Family Medicine Physician in Locust Valley, New York
NPI 1255840807

The Medical Station Of North Shore Pc is a Family Medicine Physician based in Locust Valley, NY. The Medical Station Of North Shore Pc practices in Locust Valley, NY. The NPI Number for The Medical Station Of North Shore Pc is 1255840807 and holds a License No. 243930 (New York).

The current practice location address for The Medical Station Of North Shore Pc is 480 Forest Ave, Locust Valley, NY and can be reached out via phone at 516-759-5406 and via fax at 516-759-5537.

Location: 480 Forest Ave, Locust Valley, NY, 11560-2151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255840807
Provider Name
The Medical Station Of North Shore Pc
Credential
Provider Entity Type
Organization
Address
480 Forest Ave, Locust Valley, NY, 11560-2151
Phone Number
516-759-5406
Fax Number
516-759-5537
Provider Enumeration Date
09/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5395P1 01 NY EMPIRE BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
480 Forest Ave
City
Locust Valley
State
New York
Zip
11560
Phone Number
516-759-5406
Fax Number
516-759-5537
person
Provider Business Mailing Address Details
Address
480 Forest Ave
City
Locust Valley
State
New York
Zip
11560
Phone Number
516-759-5406
Fax Number
516-759-5537
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
243930 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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