| NPI | 1720334527 |
|---|---|
| Doing Business As | BELLMORE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JACK SOTERAKIS Vice President Of Medical Affairs 516-562-6231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2019-07-19 |