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Organization
NORTH SHORE IMMEDIATE MEDICAL CARE P.C.
Active
Organization
NORTH SHORE IMMEDIATE MEDICAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOUN SABA MITROMARAS MD (PRESIDENT)
(631) 331-1100
Entity
Organization
Contact information
Practice address
509 PATCHOGUE RD, PORT JEFFERSON STATION, NY 11776-1006
(631) 331-1100
(631) 331-0223
Mailing address
509 PATCHOGUE RD, PORT JEFFERSON STATION, NY 11776-1006
(631) 331-1100
(631) 331-0223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
185255
NY
Other
Enumeration date
04/13/2007
Last updated
03/30/2011
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