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Southampton Medical Pc
Specialist in Southampton, New York
NPI 1467666461

Southampton Medical Pc is a Specialist based in Southampton, NY. Southampton Medical Pc practices in Southampton, NY. The NPI Number for Southampton Medical Pc is 1467666461 and holds a License No. 203693 (New York).

The current practice location address for Southampton Medical Pc is 425 County Road 39A, Southampton, NY and can be reached out via phone at 631-283-4048 and via fax at 631-283-5396.

Location: 425 County Road 39A, Southampton, NY, 11968-5277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467666461
Provider Name
Southampton Medical Pc
Credential
Provider Entity Type
Organization
Address
425 County Road 39A, Southampton, NY, 11968-5277
Phone Number
631-283-4048
Fax Number
631-283-5396
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01837663 05 NY
institution
Provider Business Practice Location Address Details
Address
425 County Road 39A
City
Southampton
State
New York
Zip
11968-5277
Phone Number
631-283-4048
Fax Number
631-283-5396
person
Provider Business Mailing Address Details
Address
425 County Road 39A
City
Southampton
State
New York
Zip
11968-5277
Phone Number
631-283-4048
Fax Number
631-283-5396
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
203693 (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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