Conklin Medical, PC
Neuromusculoskeletal Medicine, Sports Medicine in Farmingdale, NY. Organization (NPI-2).
NPI number1306141668
StatusActive
Last updated in NPPESJan 18, 2011
Details
- NPI
- 1306141668
- Entity type
- Organization (NPI-2)
- Legal business name
- Conklin Medical, PC
- Organization subpart
- No
- Enumeration date
- Jan 18, 2011
- Last updated
- Jan 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | – | – | Yes |
Practice location
245 Conklin StFarmingdale, NY 11735-2659
Phone 516-755-5855
Mailing address
101 Fulton StreetFarmingdale, NY 11735
Phone 516-755-5855
Authorized official
Steven Wong
President
15167555855
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