Northside Primary Medical Care PC

NPI #1508066440 in Islandia, New York

Provider Information

NPI Number
1508066440
Entity Type
Organization
Organization Name
Northside Primary Medical Care PC
Primary Specialty
Internal Medicine
Enumeration Date
Jul 19, 2007
Last Updated
Oct 2, 2007

Practice Location

Address
3001 EXPRESSWAY DR N
Address 2
SUITE 200C
ZIP Code
11749-5301
Phone
(631) 435-4358

Authorized Official

Name
MR. WEI K KAO, M.D.
Title
PRESIDENT
Phone
(631) 435-4358

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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