# WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CARLE PLACE FAMILY MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528430162
- **Authorized official:** PHILIP D. RAGNO M.D. (CO-PRESIDENT)
- **Authorized official phone:** (516) 877-2629

## Contact information

- **Practice address:** 536 MINEOLA AVE, CARLE PLACE, NY 11514-1716
- **Practice address phone:** (516) 333-5054
- **Mailing address:** 700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2015
- **Last updated:** 10/22/2015