MAIN ST. MED CARE PC

PATCHOGUE, NY
NPI1407889389
Entity TypeOrganization
Authorized ContactKRISTEN LAIRD
Administrator
631-447-6100
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-07-07
Last Update Date2008-03-13
Business Address
MAIN ST. MED CARE PC
475 E MAIN ST SUITE 103-105
PATCHOGUE, NY 11772-3121
Phone number: 631-447-6100
Mailing Address
MAIN ST. MED CARE PC
475 E MAIN ST SUITE 103-105
PATCHOGUE, NY 11772-3121
Phone number: 631-447-6100
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