Middle Country Family Medicine P C
NPI #1659542827 in Centereach, New York
Provider Information
- NPI Number
- 1659542827
- Entity Type
- Organization
- Organization Name
- Middle Country Family Medicine P C
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 17, 2008
- Last Updated
- Mar 24, 2014
Practice Location
- Address
- 2539 MIDDLE COUNTRY RD
- Address 2
- SUITE 5
- City
- Centereach
- State
- New York
- ZIP Code
- 11720-3551
- Phone
- (631) 580-1740
Authorized Official
- Name
- DR. MICHAEL L. RANDALL, D.O.
- Title
- PRESIDENT
- Phone
- (631) 580-1740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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