# FARMINGDALE PRIMARY CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073820965
- **Authorized official:** DR. RONAN MONSEF D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (516) 249-1999

## Contact information

- **Practice address:** 202 FALLWOOD PKWY, FARMINGDALE, NY 11735-4929
- **Practice address phone:** (516) 249-1999
- **Practice address fax:** (516) 249-1911
- **Mailing address:** 202 FALLWOOD PKWY, FARMINGDALE, NY 11735-4929
- **Mailing address phone:** (516) 249-1999
- **Mailing address fax:** (516) 249-1911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 234805 | NY | Yes |

## Other

- **Enumeration date:** 09/13/2010
- **Last updated:** 09/13/2010