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Organization
GREAT SOUTH BAY FAMILY MEDICAL PRACTICE LLP
Active
Organization
GREAT SOUTH BAY FAMILY MEDICAL PRACTICE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIE WESTBAY (PRACTICE ADMINISTRATOR)
(631) 563-6205
Entity
Organization
Contact information
Practice address
213 MONTAUK HWY, WEST SAYVILLE, NY 11796-1800
(631) 563-6205
(631) 563-7718
Mailing address
213 MONTAUK HWY, WEST SAYVILLE, NY 11796-1800
(631) 563-6205
(631) 563-7718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
12/01/2011
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