South Ocean Care LLC

NPI #1205811049 in Freeport, New York

Provider Information

NPI Number: 1205811049
Entity Type: Organization
Organization Name: South Ocean Care LLC
Primary Specialty: Clinic/Center
Enumeration Date: Dec 14, 2005
Last Updated: May 21, 2008

Practice Location

Address: 101 S BERGEN PL
City: Freeport
State: New York
ZIP Code: 11520-3528
Phone: (516) 623-3600

Authorized Official

Name: DR. MARK A RAIFMAN, MD
Title: MANAGING MEMBER
Phone: (516) 623-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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