Primary Care Family Doctor P.c.
NPI #1841557378 in Miller Place, New York
Provider Information
- NPI Number
- 1841557378
- Entity Type
- Organization
- Organization Name
- Primary Care Family Doctor P.c.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 23, 2012
- Last Updated
- Jun 4, 2020
Practice Location
- Address
- 565 ROUTE 25A STE 101
- City
- Miller Place
- State
- New York
- ZIP Code
- 11764-2600
- Phone
- (631) 849-4551
Authorized Official
- Name
- DR. LEONID BASOVICH, MD, DO
- Title
- PRESIDENT
- Phone
- (631) 849-4551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neuromusculoskeletal Medicine & OMM |
| Family Medicine |
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