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Organization
TERRYVILLE MEDICAL ASSOCIATES
Active
Organization
TERRYVILLE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BIASETTI M.D. (PRESIDENT)
(631) 928-2002
Entity
Organization
Contact information
Practice address
116 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1329
(631) 928-2002
Mailing address
116 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1329
(631) 928-2002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/10/2006
Last updated
08/22/2020
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