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Organization
ISLAND MEDICAL HOUSE DOCTOR PC
Active
Organization
ISLAND MEDICAL HOUSE DOCTOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RALPH FERRARA DO (PRESIDENT)
(631) 514-7600
Entity
Organization
Contact information
Practice address
88 ARKAY DR, HAUPPAUGE, NY 11788-3757
(631) 514-7600
(631) 514-7601
Mailing address
88 ARKAY DR, HAUPPAUGE, NY 11788-3757
(631) 514-7600
(631) 514-7601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NY170935
NY
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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