Main St. Med Care PC

NPI #1407889389 in Patchogue, New York

Provider Information

NPI Number: 1407889389
Entity Type: Organization
Organization Name: Main St. Med Care PC
Primary Specialty: Family Medicine
Enumeration Date: Jul 7, 2006
Last Updated: Mar 13, 2008

Practice Location

Address: 475 E MAIN ST
Address 2: SUITE 103-105
City: Patchogue
State: New York
ZIP Code: 11772-3121
Phone: (631) 447-6100

Authorized Official

Name: KRISTEN LAIRD
Title: ADMINISTRATOR
Phone: (631) 447-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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