Southeast Medical

NPI #1942396247 in Brewster, New York

Provider Information

NPI Number: 1942396247
Entity Type: Organization
Organization Name: Southeast Medical
Primary Specialty: Internal Medicine
Enumeration Date: Oct 5, 2006
Last Updated: Jun 5, 2008

Practice Location

Address: 1663 ROUTE 22
City: Brewster
State: New York
ZIP Code: 10509-4048
Phone: (845) 278-6625

Authorized Official

Name: NILO HERRERA, MD
Title: PRESIDENT
Phone: (845) 278-9137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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