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Professional Corporation
Primary Care Clinic/Center in Bellport, New York
NPI 1508216185

Professional Corporation is a Primary Care Clinic/Center based in Bellport, NY and is specialized in Primary Care. Professional Corporation practices in Bellport, NY. The NPI Number for Professional Corporation is 1508216185 and holds a License No. 0704871 (New York).

The current practice location address for Professional Corporation is 2 Academy Ln, Bellport, NY and can be reached out via phone at 631-286-3572.

Location: 2 Academy Ln, Bellport, NY, 11713-2702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508216185
Provider Name
Professional Corporation
Credential
Provider Entity Type
Organization
Address
2 Academy Ln, Bellport, NY, 11713-2702
Phone Number
631-286-3572
Fax Number
Provider Enumeration Date
06/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0704871 01 NY INDIVIDUAL PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
2 Academy Ln
City
Bellport
State
New York
Zip
11713-2702
Phone Number
631-286-3572
Fax Number
person
Provider Business Mailing Address Details
Address
2 Academy Ln
City
Bellport
State
New York
Zip
11713-2702
Phone Number
631-286-3572
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
0704871 (New York)
Definition
Definition to come...
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