Middle Country Family Medicine P C
Middle Country Family Medicine P C is a Family Medicine Physician in Centereach, 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
2539 Middle Country Rd Ste 5Centereach, NY 11720-3551
Phone: (631) 580-1740
Fax: (631) 580-1955
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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 · Licence 200458 (NY) |
|---|
Record details
| NPI number | 1659542827 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Randall — President · (631) 580-1740 |
| NPI enumerated | March 17, 2008 |
| Last updated in NPPES | March 24, 2014 |
| Mailing address | 2539 Middle Country Rd, Suite 5, Centereach, NY 11720-3551 |
Other providers in Centereach
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Dr. Michael L Randall, DO
2539 Middle Country Rd, Centereach, NY 11720 · (631) 580-1740