THREE VILLAGE MEDICAL, PC

STONY BROOK, NY
NPI1588728125
Entity TypeOrganization
Authorized ContactMATTHEW J VISO
Manager
631-751-5588
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  103139)
Enumeration Date2006-12-20
Last Update Date2020-08-22
Business Address
THREE VILLAGE MEDICAL, PC
207 HALLOCK RD SUITE 160
STONY BROOK, NY 11790-3033
Phone number: 631-751-5588
Mailing Address
THREE VILLAGE MEDICAL, PC
1890 NEW YORK AVE
HUNTINGTON STATION, NY 11746-2904
Phone number: 631-427-6920