BRANCH PEDIATRICS AND ADOLESCENT GROUP P.C.

SMITHTOWN, NY
NPI1740552942
Entity TypeOrganization
Authorized ContactRICHARD C ANCONA
President
631-979-6466
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: NY  135693)
Enumeration Date2012-02-02
Last Update Date2012-02-02
Business Address
BRANCH PEDIATRICS AND ADOLESCENT GROUP P.C.
300 E MAIN ST SUITE 4/5
SMITHTOWN, NY 11787-2900
Phone number: 631-979-6466
Mailing Address
BRANCH PEDIATRICS AND ADOLESCENT GROUP P.C.
300 E MAIN ST SUITE 4/5
SMITHTOWN, NY 11787-2900
Phone number: 631-979-6466
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