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Organization
MID ISLAND MEDICAL ASSOCIATES, PLLC
Active
Organization
MID ISLAND MEDICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLAF BUTCHMA DO (PRESIDENT)
(203) 901-2493
Entity
Organization
Contact information
Practice address
172 BELLEVIEW AVE, CENTER MORICHES, NY 11934-3731
(516) 697-8387
(516) 365-1476
Mailing address
PO BOX 367, MANHASSET, NY 11030-0367
(516) 697-8387
(516) 365-1476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
08/21/2025
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