is a Internal Medicine in Huntington, New York. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for is 1083726178. The last update date is .
's current location address is 200 West Craver St, Huntington, New York. You can contact this provider via phone number 6314210020 and fax number 6314215991. The mailing address for is 200 West Craver St, Huntington, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 200 West Craver St, Huntington, New York |
| Phone Number | 6314210020 |
| Fax Number | 6314215991 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1083726178 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 200 West Craver St |
|---|---|
| City | Huntington |
| State | New York (NY) |
| Post Code | 11743 |
| Phone Number | 6314210020 |
| Fax Number | 6314215991 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 218245 |
|
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 |
|---|---|---|---|
| DL050S810 | BCBS | ||
| 2362292 | NY | -- | |
| 397829 | CONNECTICARE | ||
| CIGNA | 112234962 | ||
| 60 | NEW YORK MEDICAID SPECIAL | ||
| 2211282 | UNITED | ||
| 4C3280 | CARECORE | ||
| LD8245 | ATLANTAS | ||
| CIM | WCB RATING CODE | ||
| 218245 | MEDICAL LICENCE NUMBER |
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