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Organization
NORTHSIDE PRIMARY MEDICAL CARE PC
Active
Organization
NORTHSIDE PRIMARY MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WEI K KAO M.D. (PRESIDENT)
(631) 435-4358
Entity
Organization
Contact information
Practice address
3001 EXPRESSWAY DR N, SUITE 200C, ISLANDIA, NY 11749-5301
(631) 435-4358
(631) 435-4583
Mailing address
3001 EXPRESSWAY DR N, SUITE 200C, ISLANDIA, NY 11749-5301
(631) 435-4358
(631) 435-4583
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
160056
NY
Other
Enumeration date
07/19/2007
Last updated
10/02/2007
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