Wantagh Internal Medicine, PC

NPI #1629256342 in Wantagh, New York

Provider Information

NPI Number: 1629256342
Entity Type: Organization
Organization Name: Wantagh Internal Medicine, PC
Primary Specialty: Community Health Worker
Enumeration Date: Feb 5, 2008
Last Updated: Feb 5, 2008

Practice Location

Address: 2155 WANTAGH AVE
City: Wantagh
State: New York
ZIP Code: 11793-3915
Phone: (516) 785-1200

Authorized Official

Name: DR. ERIC R BARTH, M.D
Title: DOCTOR
Phone: (516) 785-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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