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1932388873
MAIN STREET PRIMARY MEDICINE
PATCHOGUE, NY
NPI
1932388873
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Entity Type
Organization
Authorized Contact
CHRISTOPHER GARENANI
President/Owner
631-428-3369
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-10-28
Last Update Date
2007-10-28
Business Address
MAIN STREET PRIMARY MEDICINE
475 E MAIN ST STE 103
PATCHOGUE, NY 11772-3121
Phone number: 631-447-6100
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Mailing Address
MAIN STREET PRIMARY MEDICINE
PO BOX 993
HOLBROOK, NY 11741-0993
Phone number: 631-447-6100
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