| NPI | 1891150553 |
|---|---|
| Doing Business As | BETHPAGE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | PHILIP RAGNO Co President 516-877-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |