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Organization
SMITHTOWN PRIMARY MEDICAL CARE, P.C.
Active
Organization
SMITHTOWN PRIMARY MEDICAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD ROTH (PRESIDENT)
(631) 265-7671
Entity
Organization
Contact information
Practice address
100 MAPLE AVE, SMITHTOWN, NY 11787-3502
(631) 265-7671
(631) 265-7692
Mailing address
100 MAPLE AVE, SMITHTOWN, NY 11787-3502
(631) 265-7671
(631) 265-7692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
120634-1
NY
Other
Enumeration date
06/18/2007
Last updated
09/29/2011
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