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

Healthsource Medical Services Medford, PLLC

Organization Internal Medicine Physician · NPI 1821319575

Healthsource Medical Services Medford, PLLC is an Internal Medicine Physician in Medford, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1743 N Ocean Ave
Medford, NY 11763-2649
Phone: (631) 758-3100
Fax: (631) 758-3168
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 167755 (NY)

Record details

NPI number1821319575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Folan — President/Owner · (631) 435-0110
NPI enumeratedJune 17, 2010
Last updated in NPPESJune 17, 2010
Mailing address3001 Express Dr N, Suite 200c, Islandia, NY 11749-5301

Other providers in Medford