Main Street Internal Medicine, Pllc
NPI #1760433759 in Huntington, New York
Provider Information
- NPI Number
- 1760433759
- Entity Type
- Organization
- Organization Name
- Main Street Internal Medicine, Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 124 MAIN ST
- Address 2
- SUITE 12
- City
- Huntington
- State
- New York
- ZIP Code
- 11743-6922
- Phone
- (631) 271-6406
Authorized Official
- Name
- DR. MICHEL WILLIAM GHOBRIAL, M.D.
- Title
- PRESIDENT
- Phone
- (631) 271-6406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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