Lake Family Medical Practice PC
NPI #1639923675 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1639923675
- Entity Type
- Organization
- Organization Name
- Lake Family Medical Practice PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 16, 2024
- Last Updated
- Nov 13, 2024
Practice Location
- Address
- 201 PORTION RD STE A
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-4172
- Phone
- (631) 981-1333
Authorized Official
- Name
- DR. ROBERT A TUFANO, DO
- Title
- CEO
- Phone
- (631) 981-1333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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