# ISLAND FAMILY MEDICAL PRACTICE, PC

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

## Provider details

- **NPI number:** 1437249513
- **Authorized official:** DR. TROY P FABREGAS M.D. (PRESIDENT)
- **Authorized official phone:** (516) 731-3210

## Contact information

- **Practice address:** 848 HICKSVILLE RD, N MASSAPEQUA, NY 11758-1210
- **Practice address phone:** (516) 731-3210
- **Practice address fax:** (516) 731-3886
- **Mailing address:** 848 HICKSVILLE RD, N MASSAPEQUA, NY 11758-1210
- **Mailing address phone:** (516) 731-3210
- **Mailing address fax:** (516) 731-3886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 197290 | NY | Yes |
| 207Q00000X | Family Medicine Physician | 206142 | NY | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/22/2020