Mid Island Primary Medical Care PC

NPI #1033149026 in Seaford, New York

Provider Information

NPI Number: 1033149026
Entity Type: Organization
Organization Name: Mid Island Primary Medical Care PC
Primary Specialty: Family Medicine
Enumeration Date: Jul 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 850 HICKSVILLE RD
Address 2: SUITE 110
City: Seaford
State: New York
ZIP Code: 11783-1300
Phone: (516) 735-5454

Authorized Official

Name: STEPHEN CUSUMANO, M.D.
Title: PHYSICIAN
Phone: (516) 735-5454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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