Organization · Type 2 NPI

Tri State Medical Associates PC

Specialist · Port Jefferson Station, NY

NPI number 1922249606 Active

Practice location

931 Hallock Ave
Port Jefferson Station, NY 11776-1228

Call (631) 331-7200 Map

Fax (631) 642-0245

Mailing address

1987 Utica Ave
Brooklyn, NY 11234-3215

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X167850 (NY)
Specialist 174400000X182338 (NY)

Specialist: 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.

9 other providers at this address

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About NPI 1922249606

Tri State Medical Associates PC's National Provider Identifier is 1922249606, issued on Mar 10, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Apr 27, 2009.