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Organization
MIDDLE COUNTRY ENDOCRINOLOGY, PC
Active
Organization
MIDDLE COUNTRY ENDOCRINOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRY K SUSSMAN MD (CEO)
(631) 509-0390
Entity
Organization
Contact information
Practice address
285 MIDDLE COUNTRY RD, SUITE 105, SMITHTOWN, NY 11787-2978
(631) 509-0390
Mailing address
285 MIDDLE COUNTRY RD, SUITE 105, SMITHTOWN, NY 11787-2978
(631) 509-0390
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
205106
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235176280
NPI # INDIVIDUAL
—
Enumeration date
09/14/2009
Last updated
09/14/2009
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