Nassau Suffolk Medical Practice, P.c.
NPI #1417998352 in West Babylon, New York
Provider Information
- NPI Number
- 1417998352
- Entity Type
- Organization
- Organization Name
- Nassau Suffolk Medical Practice, P.c.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 10, 2006
- Last Updated
- Aug 26, 2009
Practice Location
- Address
- 120 ROUTE 109
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704-6210
- Phone
- (631) 422-3636
Authorized Official
- Name
- DR. ANI A BODOUTCHIAN, M.D.
- Title
- OWNER
- Phone
- (631) 422-3636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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