Bright Bay Medical Pllc

NPI #1891971958 in Bohemia, New York

Provider Information

NPI Number: 1891971958
Entity Type: Organization
Organization Name: Bright Bay Medical Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jan 18, 2008
Last Updated: Sep 4, 2008

Practice Location

Address: 1461 LAKELAND AVE UNIT 14
City: Bohemia
State: New York
ZIP Code: 11716-2174
Phone: (631) 218-8800

Authorized Official

Name: ENOCH CHUNG CHAN, MD
Title: MD/OWNER
Phone: (631) 218-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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