# 54 MAIN STREET MEDICAL PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386711497
- **Authorized official:** DR. RICHARD ADDES DO (OWNER)
- **Authorized official phone:** (516) 593-8953

## Contact information

- **Practice address:** 129 JACKSON ST, HEMPSTEAD, NY 11550-2412
- **Practice address phone:** (516) 538-4531
- **Practice address fax:** (516) 292-6287
- **Mailing address:** 2965 LONG BEACH RD, OCEANSIDE, NY 11572-3255
- **Mailing address phone:** (516) 593-8953
- **Mailing address fax:** (516) 292-6287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 10/21/2021