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Organization
SUFFOLK PEDIATRIC, PC
Active
Organization
SUFFOLK PEDIATRIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EFRAIN SANCHEZ M.D. (PRESIDENT)
(631) 582-2228
Entity
Organization
Contact information
Practice address
45 W SUFFOLK AVE, 2ND FLOOR, CENTRAL ISLIP, NY 11722-2156
(631) 582-2228
(631) 582-4881
Mailing address
45 W SUFFOLK AVE, 2ND FLOOR, CENTRAL ISLIP, NY 11722-2156
(631) 582-2228
(631) 582-4881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
258769-1
NY
208000000X
Pediatrics Physician
Primary
215692-1
NY
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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