SOUTH SHORE FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO

BAY SHORE, NY
NPI1720824840
Entity TypeOrganization
Authorized ContactVICTORIA A GANGALE
Physician Assistant
631-968-3000
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-07-08
Last Update Date2024-07-08
Business Address
SOUTH SHORE FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
Mailing Address
SOUTH SHORE FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
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