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1891292462
HT MEDICAL HEALTH OF PORT JEFFERSON STATION PLLC
PORT JEFFERSON STATION, NY
NPI
1891292462
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Entity Type
Organization
Authorized Contact
VARUN BAJAJ
Biller
718-554-1024
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2018-04-10
Last Update Date
2018-11-14
Business Address
HT MEDICAL HEALTH OF PORT JEFFERSON STATION PLLC
11 MEDICAL DR STE B
PORT JEFFERSON STATION, NY 11776-1589
Phone number: 718-554-1042
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Mailing Address
HT MEDICAL HEALTH OF PORT JEFFERSON STATION PLLC
11 MEDICAL DR STE B
PORT JEFFERSON STATION, NY 11776-1589
Phone number: 718-554-1024
Copy
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