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Diplomate Medical Care, Pllc
Specialist in Brentwood, New York
NPI 1285952812

Diplomate Medical Care, Pllc is a Specialist based in Brentwood, NY. Diplomate Medical Care, Pllc practices in Brentwood, NY. The NPI Number for Diplomate Medical Care, Pllc is 1285952812 and holds a License No. 495578 (New York).

The current practice location address for Diplomate Medical Care, Pllc is 14 Washington Ave, Brentwood, NY and can be reached out via phone at 631-575-6430 and via fax at 631-617-5576.

Location: 14 Washington Ave, Brentwood, NY, 11717-3247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285952812
Provider Name
Diplomate Medical Care, Pllc
Credential
Provider Entity Type
Organization
Address
14 Washington Ave, Brentwood, NY, 11717-3247
Phone Number
631-575-6430
Fax Number
631-617-5576
Provider Enumeration Date
05/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
495578 01 NY THE JOINT COMMISSION
institution
Provider Business Practice Location Address Details
Address
14 Washington Ave
City
Brentwood
State
New York
Zip
11717-3247
Phone Number
631-575-6430
Fax Number
631-617-5576
person
Provider Business Mailing Address Details
Address
14 Washington Ave
City
Brentwood
State
New York
Zip
11717-3247
Phone Number
631-575-6430
Fax Number
631-617-5576
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
495578 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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