# ISLAND MEDICAL HOUSE DOCTOR PC

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

## Provider details

- **NPI number:** 1477704005
- **Authorized official:** DR. DANIEL RALPH FERRARA DO (PRESIDENT)
- **Authorized official phone:** (631) 514-7600

## Contact information

- **Practice address:** 88 ARKAY DR, HAUPPAUGE, NY 11788-3757
- **Practice address phone:** (631) 514-7600
- **Practice address fax:** (631) 514-7601
- **Mailing address:** 88 ARKAY DR, HAUPPAUGE, NY 11788-3757
- **Mailing address phone:** (631) 514-7600
- **Mailing address fax:** (631) 514-7601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | NY170935 | NY | Yes |

## Other

- **Enumeration date:** 10/01/2008
- **Last updated:** 10/01/2008