Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East End Physician Services PC

Organization Internal Medicine Physician · NPI 1407191364

East End Physician Services PC is an Internal Medicine Physician in Southold, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

44210 County Rd 48
Southold, NY 11971
Phone: (631) 765-4150
Fax: (631) 765-4688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 153210-1 (NY)
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X · Licence 153210-1 (NY)

Record details

NPI number1407191364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lloyd Simon — President (Corporation) · (631) 765-4150
NPI enumeratedDecember 4, 2012
Last updated in NPPESJune 14, 2017
Mailing addressP.O. Box 1341, Southold, NY 11971

Other providers in Southold