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Provident Health Partners Inc.
Clinic/Center in Medford, New York
NPI 1275157000

Provident Health Partners Inc. is a Clinic/Center based in East Northport, NY. Provident Health Partners Inc. practices in Medford, NY. The NPI Number for Provident Health Partners Inc. is 1275157000 and holds a License No. (New York).

The current practice location address for Provident Health Partners Inc. is 1529 N Ocean Ave Ste A, Medford, NY and can be reached out via phone at 631-266-4501 and via fax at 631-266-4502.

Location: 1529 N Ocean Ave Ste A, Medford, NY, 11731-4205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275157000
Provider Name
Provident Health Partners Inc.
Credential
Provider Entity Type
Organization
Address
1529 N Ocean Ave Ste A, Medford, NY, 11731-4205
Phone Number
631-266-4501
Fax Number
631-266-4502
Provider Enumeration Date
06/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1529 N Ocean Ave Ste A
City
Medford
State
New York
Zip
11763-3587
Phone Number
631-266-4501
Fax Number
631-266-4502
person
Provider Business Mailing Address Details
Address
1529 N Ocean Ave Ste A
City
Medford
State
New York
Zip
11763-3587
Phone Number
631-266-4501
Fax Number
631-266-4502
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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