Cutchogue Internal Medicine, Pllc

NPI #1003800715 in Cutchogue, New York

Provider Information

NPI Number: 1003800715
Entity Type: Organization
Organization Name: Cutchogue Internal Medicine, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Sep 8, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 32645 MAIN RD
City: Cutchogue
State: New York
ZIP Code: 11935-1364
Phone: (631) 734-7670

Authorized Official

Name: JOHN IMPELLIZERI, D.O.
Title: MANGING MEMBER
Phone: (631) 734-7670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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