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1578309670
MATHER FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CORPORA
PORT JEFFERSON, NY
NPI
1578309670
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Entity Type
Organization
Authorized Contact
INGRID J MCDOWALD
Nurse Practicioner
631-473-1320
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
MATHER FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CORPORA
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
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Mailing Address
MATHER FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CORPORA
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
Copy
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