Port Jefferson Ekg Associates

NPI #1972771004 in Port Jefferson, New York

Provider Information

NPI Number: 1972771004
Entity Type: Organization
Organization Name: Port Jefferson Ekg Associates
Primary Specialty: Internal Medicine
Enumeration Date: Feb 12, 2008
Last Updated: May 21, 2008

Practice Location

Address: JOHN T. MATHER MEMORIAL HOSPITAL
Address 2: 75 NORTH COUNTRY ROAD
City: Port Jefferson
State: New York
ZIP Code: 11777
Phone: (631) 642-0183

Authorized Official

Name: VIRGINIA ROMANO
Title: MANAGER
Phone: (631) 642-0183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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