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Organization
SMITHTOWN INTEGRATED HEALTH LLC
Active
Organization
SMITHTOWN INTEGRATED HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE J WALLMAN DO (PHYSICIAN)
(631) 265-1763
Entity
Organization
Contact information
Practice address
32 LAWRENCE AVE STE 206, SMITHTOWN, NY 11787-3605
(631) 265-1763
Mailing address
32 LAWRENCE AVE STE 206, SMITHTOWN, NY 11787-3605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
288963
NY
Other
Enumeration date
09/06/2017
Last updated
04/02/2018
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