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

Three Village Medical, PC

Organization Internal Medicine Physician · NPI 1588728125

Three Village Medical, PC is an Internal Medicine Physician in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

207 Hallock Rd Ste 160
Stony Brook, NY 11790-3033
Phone: (631) 751-5588
Fax: (631) 751-5821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 103139 (NY)

Record details

NPI number1588728125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Viso — Manager · (631) 751-5588
NPI enumeratedDecember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1890 New York Ave, Huntington Station, NY 11746-2904

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