North Fork Medical Pllc

NPI #1528777810 in Wading River, New York

Provider Information

NPI Number: 1528777810
Entity Type: Organization
Organization Name: North Fork Medical Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 16, 2022
Last Updated: Nov 16, 2022

Practice Location

Address: 6278 ROUTE 25A STE 4
City: Wading River
State: New York
ZIP Code: 11792-2009
Phone: (631) 886-1500

Authorized Official

Name: NEETA MITCHELL, RN
Title: OFFICE MANAGER
Phone: (631) 886-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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