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Port Jefferson Medical Care Wellness Pllc
General Practice Physician in Port Jefferson Station, New York
NPI 1730605510

Port Jefferson Medical Care Wellness Pllc is a General Practice Physician based in Bohemia, NY. Port Jefferson Medical Care Wellness Pllc practices in Port Jefferson Station, NY. The NPI Number for Port Jefferson Medical Care Wellness Pllc is 1730605510 and holds a License No. (New York).

The current practice location address for Port Jefferson Medical Care Wellness Pllc is 11 Medical Dr Ste B, Port Jefferson Station, NY and can be reached out via phone at 631-882-0241.

Location: 11 Medical Dr Ste B, Port Jefferson Station, NY, 11716-3923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730605510
Provider Name
Port Jefferson Medical Care Wellness Pllc
Credential
Provider Entity Type
Organization
Address
11 Medical Dr Ste B, Port Jefferson Station, NY, 11716-3923
Phone Number
631-882-0241
Fax Number
Provider Enumeration Date
08/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 Medical Dr Ste B
City
Port Jefferson Station
State
New York
Zip
11776-1589
Phone Number
631-882-0241
Fax Number
person
Provider Business Mailing Address Details
Address
11 Medical Dr Ste B
City
Port Jefferson Station
State
New York
Zip
11776-1589
Phone Number
631-882-0241
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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