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

Professional Corporation

Organization Primary Care Clinic/Center · NPI 1508216185

Professional Corporation is a Primary Care Clinic/Center in Bellport, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
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Practice location Address checks out

2 Academy Ln
Bellport, NY 11713-2702
Phone: (631) 286-3572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 0704871 (NY)

Record details

NPI number1508216185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Harder — Individual Practitioner · (631) 286-3572
NPI enumeratedJune 15, 2016
Last updated in NPPESJune 15, 2016
Mailing address2 Academy Ln, Bellport, NY 11713-2702

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