# GREAT SOUTH BAY FAMILY MEDICAL PRACTICE LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588824981
- **Authorized official:** MR. JULIE WESTBAY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (631) 563-6205

## Contact information

- **Practice address:** 213 MONTAUK HWY, WEST SAYVILLE, NY 11796-1800
- **Practice address phone:** (631) 563-6205
- **Practice address fax:** (631) 563-7718
- **Mailing address:** 213 MONTAUK HWY, WEST SAYVILLE, NY 11796-1800
- **Mailing address phone:** (631) 563-6205
- **Mailing address fax:** (631) 563-7718

## Taxonomy

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

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 12/01/2011