Main Street Primary Medicine

NPI #1932388873 in Patchogue, New York

Provider Information

NPI Number: 1932388873
Entity Type: Organization
Organization Name: Main Street Primary Medicine
Primary Specialty: Family Medicine
Enumeration Date: Oct 28, 2007
Last Updated: Oct 28, 2007

Practice Location

Address: 475 E MAIN ST STE 103
City: Patchogue
State: New York
ZIP Code: 11772-3121
Phone: (631) 447-6100

Authorized Official

Name: DR. CHRISTOPHER GARENANI, M.D.
Title: PRESIDENT/OWNER
Phone: (631) 428-3369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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