is a Internal Medicine in Babylon, New York. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for is 1689625253. The last update date is .
's current location address is 431 Deer Park Ave, Babylon, New York. You can contact this provider via phone number 6313761101 and fax number 6313761139. The mailing address for is 431 Deer Park Ave, Babylon, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 431 Deer Park Ave, Babylon, New York |
| Phone Number | 6313761101 |
| Fax Number | 6313761139 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1689625253 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 431 Deer Park Ave |
|---|---|
| City | Babylon |
| State | New York (NY) |
| Post Code | 117022315 |
| Phone Number | 6313761101 |
| Fax Number | 6313761139 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 184482 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2511488 | NY | GHI | |
| 184482 | NY | LICENSE | |
| 3X1011 | NY | EMPIRE BCBS |
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