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Organization
ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC
Active
Organization
ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ADIYODY (PARTNER)
(516) 798-1116
Entity
Organization
Contact information
Practice address
4625 MERRICK RD, MASSAPEQUA, NY 11758-6010
(516) 798-1116
(516) 798-8530
Mailing address
PO BOX 9461, UNIONDALE, NY 11555-9461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
166537
NY
Other
Enumeration date
06/04/2006
Last updated
12/17/2010
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