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Smithtown Health LLC

Internal Medicine, Gastroenterology in Smithtown, NY. Organization (NPI-2).

NPI number1659639110
StatusActive
Last updated in NPPESMay 2, 2012

Details

NPI
1659639110
Entity type
Organization (NPI-2)
Legal business name
Smithtown Health LLC
Organization subpart
No
Enumeration date
May 2, 2012
Last updated
May 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology––Yes

Practice location

50 Route 111
Suite 302
Smithtown, NY 11787-3738

Phone 516-488-9427 · Fax 800-557-3140

Mailing address

50 Route 111
Suite 302
Smithtown, NY 11787-3738

Phone 516-488-9427 · Fax 800-557-3140

Authorized official

Farzad Forohar
Member
5164889427

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