Main Street Primary Medicine
Main Street Primary Medicine is a Family Medicine Physician in Patchogue, New York. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
475 E Main St Ste 103Patchogue, NY 11772-3121
Phone: (631) 447-6100
Fax: (631) 447-6126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1932388873 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Garenani — President/Owner · (631) 428-3369 |
| NPI enumerated | October 28, 2007 |
| Last updated in NPPES | October 28, 2007 |
| Mailing address | Po Box 993, Holbrook, NY 11741-0993 |
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