Island Medical of Medford, LLP

NPI #1316160658 in Medford, New York

Provider Information

NPI Number: 1316160658
Entity Type: Organization
Organization Name: Island Medical of Medford, LLP
Primary Specialty: Family Medicine
Enumeration Date: Apr 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1647 ROUTE 112
City: Medford
State: New York
ZIP Code: 11763-3635
Phone: (631) 758-2220

Authorized Official

Name: LISSETTE CEPEDA
Title: OFFICE MANAGER
Phone: (631) 758-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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