Kings Park Primary Medical Care PC

NPI #1073747689 in Kings Park, New York

Provider Information

NPI Number
1073747689
Entity Type
Organization
Organization Name
Kings Park Primary Medical Care PC
Primary Specialty
Internal Medicine
Enumeration Date
May 11, 2009
Last Updated
May 11, 2009

Practice Location

Address
65 INDIAN HEAD RD
Address 2
SUITE 2
ZIP Code
11754-3729
Phone
(631) 269-0180

Authorized Official

Name
DR. DEBRA PINCUS
Title
PRESIDENT
Phone
(631) 269-0180

Specialties & Taxonomy Codes

Specialty
Pediatrics
Internal Medicine

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