Bellmore-Wantagh Adult Medicine, Pllc

NPI #1306012489 in Wantagh, New York

Provider Information

NPI Number: 1306012489
Entity Type: Organization
Organization Name: Bellmore-Wantagh Adult Medicine, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: May 7, 2008
Last Updated: May 7, 2008

Practice Location

Address: 2857 JERUSALEM AVE
City: Wantagh
State: New York
ZIP Code: 11793-2018
Phone: (516) 785-2783

Authorized Official

Name: DR. ERIC C. LAST, DO
Title: PRINCIPAL
Phone: (516) 785-2783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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