Kings Park Medicine PC
NPI #1609200716 in Kings Park, New York
Provider Information
- NPI Number
- 1609200716
- Entity Type
- Organization
- Organization Name
- Kings Park Medicine PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 26, 2013
- Last Updated
- Aug 26, 2013
Practice Location
- Address
- 93 MAIN ST
- Address 2
- SUITE A
- City
- Kings Park
- State
- New York
- ZIP Code
- 11754-2740
- Phone
- (631) 292-2725
Authorized Official
- Name
- WEYMIN G HAGO, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (631) 292-2725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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