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Organization
PORT JEFFERSON INTERNAL MEDICINE ASSOC
Active
Organization
PORT JEFFERSON INTERNAL MEDICINE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSARIO J ROMANO MD (SR. PARTNER)
(631) 331-1000
Entity
Organization
Contact information
Practice address
5225-15 ROUTE 347, PORT JEFFERSON STATION, NY 11776
(631) 331-1000
(631) 928-7436
Mailing address
5225-15 ROUTE 347, PORT JEFFERSON STATION, NY 11776
(631) 331-1000
(631) 928-7436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
120676
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB1781
RAILROAD MEDICARE
NY
Enumeration date
09/26/2006
Last updated
05/21/2008
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