Nancy Brasil-Kolich, Phy. P.C.
Family Medicine in Patchogue, NY. Organization (NPI-2).
NPI number1407005192
StatusActive
Last updated in NPPESSep 17, 2008
Details
- NPI
- 1407005192
- Entity type
- Organization (NPI-2)
- Legal business name
- Nancy Brasil-Kolich, Phy. P.C.
- Organization subpart
- No
- Enumeration date
- Sep 17, 2008
- Last updated
- Sep 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 238120 | NY | Yes |
Practice location
33 Medford AvePatchogue, NY 11772-1222
Phone 212-255-2333
Mailing address
190 Sexton RdWest Babylon, NY 11704-3418
Authorized official
Nancy Brasil-Kolich
Owner
2122552333
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