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

Kings Park Primary Medical Care PC

Organization Internal Medicine Physician · NPI 1073747689

Kings Park Primary Medical Care PC is an Internal Medicine Physician in Kings Park, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

65 Indian Head Rd Ste 2
Kings Park, NY 11754-3729
Phone: (631) 269-0180
Fax: (631) 269-0178
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 183029 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 183029 (NY)

Record details

NPI number1073747689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Pincus — President · (631) 269-0180
NPI enumeratedMay 11, 2009
Last updated in NPPESMay 11, 2009
Mailing address65 Indian Head Rd, Suite 2, Kings Park, NY 11754-3729

Other providers in Kings Park