South Shore Family Practice Associates PC

NPI #1306971825 in East Islip, New York

Provider Information

NPI Number
1306971825
Entity Type
Organization
Organization Name
South Shore Family Practice Associates PC
Primary Specialty
Family Medicine
Enumeration Date
Feb 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
369 E MAIN ST
Address 2
SUITE 3
ZIP Code
11730-2800
Phone
(631) 581-4500

Authorized Official

Name
MRS. LISA JEANNE GIEL
Title
OFFICE MANAGER
Phone
(631) 581-4500

Specialties & Taxonomy Codes

Specialty
Family Medicine

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