Nassau Medical Home Visits P.c.

NPI #1104270198 in Syosset, New York

Provider Information

NPI Number: 1104270198
Entity Type: Organization
Organization Name: Nassau Medical Home Visits P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Apr 16, 2016
Last Updated: Jun 25, 2016

Practice Location

Address: 60 QUEENS ST
Address 2: SUITE 100
City: Syosset
State: New York
ZIP Code: 11791-3058
Phone: (631) 271-9151

Authorized Official

Name: GRIGORIY KRICHMAR
Title: OWNER
Phone: (631) 271-9151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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