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Organization
NORTHEAST FAMILY MEDICAL PLLC
Active
Organization
NORTHEAST FAMILY MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK SUPPA DO (OWNER)
(516) 554-6477
Entity
Organization
Contact information
Practice address
667 61ST ST, BROOKLYN, NY 11220-4123
(516) 554-6477
(347) 889-5909
Mailing address
138 MAIN ST # 1009, EAST ROCKAWAY, NY 11518-1702
(516) 554-6477
(347) 889-5915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
03/07/2023
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