| NPI | 1992731426 |
|---|---|
| Doing Business As | MEDICENTER NORTHPORT |
| Entity Type | Organization |
| Authorized Contact | ROBERT E. SCULLY Director 631-757-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 164326) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2013-11-18 |