Active Medical Diagnostics PC
NPI #1528218294 in West Babylon, New York
Provider Information
- NPI Number
- 1528218294
- Entity Type
- Organization
- Organization Name
- Active Medical Diagnostics PC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Sep 30, 2008
- Last Updated
- Sep 30, 2008
Practice Location
- Address
- 422C GREAT EAST NECK ROAD
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704
- Phone
- (631) 661-6611
Authorized Official
- Name
- MR. TIMOTHY J MOSOMILLO, DO, NMM
- Title
- MEDICAL DIRECTOR
- Phone
- (631) 661-6611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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