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Organization

ISLAND URGENT MEDICAL CARE, P.C.

Active
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Organization

ISLAND URGENT MEDICAL CARE, P.C.

Active
Other names
BROOK FAMILY MEDICINE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL R FERRARA DO (PRESIDENT)
(631) 514-7606
Entity
Organization

Contact information

Practice address
1228 EAST MAIN ST, SUITE C, RIVERHEAD, NY 11901
(631) 603-3400
(631) 603-3401
Mailing address
1228 EAST MAIN ST, SUITE C, RIVERHEAD, NY 11901
(631) 603-3400
(631) 603-3401

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
NY215053
NY
261QU0200X
Urgent Care Clinic/Center
Primary
170935
NY

Other

Enumeration date
08/10/2006
Last updated
08/12/2009
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