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1588728125
THREE VILLAGE MEDICAL, PC
STONY BROOK, NY
NPI
1588728125
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Entity Type
Organization
Authorized Contact
MATTHEW J VISO
Manager
631-751-5588
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 103139)
Enumeration Date
2006-12-20
Last Update Date
2020-08-22
Business Address
THREE VILLAGE MEDICAL, PC
207 HALLOCK RD SUITE 160
STONY BROOK, NY 11790-3033
Phone number: 631-751-5588
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Mailing Address
THREE VILLAGE MEDICAL, PC
1890 NEW YORK AVE
HUNTINGTON STATION, NY 11746-2904
Phone number: 631-427-6920
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