Southwest Suffolk Medical PC
NPI #1770919763 in Lindenhurst, New York
Provider Information
- NPI Number
- 1770919763
- Entity Type
- Organization
- Organization Name
- Southwest Suffolk Medical PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 23, 2013
- Last Updated
- Jan 14, 2014
Practice Location
- Address
- 502 S WELLWOOD AVE
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-4925
- Phone
- (631) 226-8600
Authorized Official
- Name
- LORRAINE HUMMEL
- Title
- DIRECTOR
- Phone
- (631) 465-6001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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