Organization · Type 2 NPI

Long Beach Family Medicine PC

Adult Medicine Physician · Long Beach, NY

NPI number 1629299516 Active

Practice location

10 Franklin Blvd Apt 102
Long Beach, NY 11561-4511

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

About NPI 1629299516

Long Beach Family Medicine PC's National Provider Identifier is 1629299516, issued on May 1, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Long Beach, NY. The record was last updated on Sep 25, 2015.