Mi Medical Pllc

NPI #1396925947 in Ronkonkoma, New York

Provider Information

NPI Number: 1396925947
Entity Type: Organization
Organization Name: Mi Medical Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Nov 13, 2007
Last Updated: Nov 13, 2007

Practice Location

Address: 3279 VETERANS MEMORIAL HWY STE 5
City: Ronkonkoma
State: New York
ZIP Code: 11779-7673
Phone: (631) 737-4949

Authorized Official

Name: DR. MYLES IVAN ROSENTHAL, M.D.
Title: OWNER
Phone: (631) 737-4949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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