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Organization
ISLAND MEDICAL ASSOCIATES, P.C.
Active
Organization
ISLAND MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN MARTEN (OFFICEL MANAGER)
(631) 789-4040
Entity
Organization
Contact information
Practice address
618 BROADWAY, AMITYVILLE, NY 11701-2124
(631) 789-4040
(631) 789-4083
Mailing address
618 BROADWAY, AMITYVILLE, NY 11701-2124
(631) 789-4040
(631) 789-4083
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001148
HORIZON HEALTHCARE
NJ
01
—
027899
BLUE CROSS
NY
01
—
0445851003
CIGNA
NY
01
—
14645
VYTRA
NY
01
—
7166538
LOCAL 1199
NY
01
—
8459937
AETNA
NY
01
—
ANC129
OXFORD
NY
01
—
AZ00211
MDNY
NY
Enumeration date
02/19/2007
Last updated
08/22/2020
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