East Meadow Family Practice Assoc PC

NPI #1326117110 in Wantagh, New York

Provider Information

NPI Number: 1326117110
Entity Type: Organization
Organization Name: East Meadow Family Practice Assoc PC
Primary Specialty: Family Medicine
Enumeration Date: Nov 7, 2006
Last Updated: Apr 18, 2008

Practice Location

Address: 2840 JERUSALEM AVE
City: Wantagh
State: New York
ZIP Code: 11793-2017
Phone: (516) 781-1141

Authorized Official

Name: BRIAN T MOYNIHAN, DO
Title: PRESIDENT
Phone: (516) 781-1141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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