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

Haven Medical Services, PLC

Organization Internal Medicine Physician · NPI 1235301185

Haven Medical Services, PLC is an Internal Medicine Physician in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

1350 Route 112
Port Jefferson Station, NY 11776-3078
Phone: (631) 473-3304
Fax: (631) 474-1692
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 115112 (NY)

Record details

NPI number1235301185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corazon Go — Owner · (631) 473-3304
NPI enumeratedApril 1, 2008
Last updated in NPPESApril 2, 2008
Mailing address1350 Route 112, Port Jefferson Station, NY 11776-3078

Other providers in Port Jefferson Station