Village Internal Medicine Group
NPI #1003889023 in Port Jefferson, New York
Provider Information
- NPI Number
- 1003889023
- Entity Type
- Organization
- Organization Name
- Village Internal Medicine Group
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 9, 2006
- Last Updated
- Dec 29, 2010
Practice Location
- Address
- 710 MAIN STREET
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777
- Phone
- (631) 474-4000
Authorized Official
- Name
- DR. MARK J. DIBENEDETTO, MD
- Title
- MD/PRESIDENT
- Phone
- (631) 474-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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