Main Street Medical, PC

NPI #1184049835 in Bay Shore, New York

Provider Information

NPI Number: 1184049835
Entity Type: Organization
Organization Name: Main Street Medical, PC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 4, 2014
Last Updated: Mar 4, 2014

Practice Location

Address: 38-40 EAST MAIN STREET
City: Bay Shore
State: New York
ZIP Code: 11706
Phone: (631) 647-9555

Authorized Official

Name: KALMAN AUSUBEL, MD
Title: OWNER
Phone: (631) 647-9555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine	207R00000X	Primary

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