Organization · Type 2 NPI
Professional Corporation
Primary Care Clinic/Center · Bellport, NY
NPI number
1508216185
Active
Practice location
2 Academy Ln
Bellport, NY 11713-2702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 0704871 (NY) |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Bellport
About NPI 1508216185
Professional Corporation's National Provider Identifier is 1508216185, issued on Jun 15, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Bellport, NY. The record was last updated on Jun 15, 2016.