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1710950688
SUFFOLK MEDICAL SPECIALIST, PLLC
PORT JEFFERSON STATION, NY
NPI
1710950688
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Entity Type
Organization
Authorized Contact
NORMAN R BENNETT
Owner
631-476-9100
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 159940)
Enumeration Date
2006-02-09
Last Update Date
2014-12-12
Business Address
SUFFOLK MEDICAL SPECIALIST, PLLC
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776-1210
Phone number: 631-476-9100
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Mailing Address
SUFFOLK MEDICAL SPECIALIST, PLLC
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776-1210
Phone number: 631-476-9100
Copy
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