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Organization
FAMILY MEDICAL CARE OF BAYSHORE, PC
Active
Organization
FAMILY MEDICAL CARE OF BAYSHORE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA CANAVIRE-WEBER D.O (OWNER)
(631) 328-5560
Entity
Organization
Contact information
Practice address
1745 UNION BLVD, BAY SHORE, NY 11706-7952
(631) 328-5560
(516) 328-5599
Mailing address
1745 UNION BLVD, BAY SHORE, NY 11706-7952
(631) 328-5560
(516) 328-5599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210883
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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