Winthrop Faculty Medical Affiliates University Faculty Practice Corpor
Internal Medicine in North Merrick, NY. Organization (NPI-2).
NPI number1730596149
StatusActive
Last updated in NPPESJun 25, 2015
Details
- NPI
- 1730596149
- Entity type
- Organization (NPI-2)
- Legal business name
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor
- Organization subpart
- No
- Enumeration date
- Jul 17, 2014
- Last updated
- Jun 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- North Merrick Family Practice (Doing Business As)
Practice location
951 Merrick AveNorth Merrick, NY 11566-1001
Phone 516-489-6433
Mailing address
700 Hicksville RdSuite 204
Bethpage, NY 11714-3471
Authorized official
Joseph J Greco
Co-President
5166632216
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