# FAMILY MEDICAL CARE OF LONG ISLAND, P.C.

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

## Provider details

- **NPI number:** 1619090818
- **Authorized official:** DR. ORLANDO VIC. BAUTISTA M.D. (PRESIDENT)
- **Authorized official phone:** (631) 360-3442

## Contact information

- **Practice address:** 227 MOUNT PLEASANT RD, HAUPPAUGE, NY 11788-2709
- **Practice address phone:** (631) 360-3442
- **Practice address fax:** (631) 360-3317
- **Mailing address:** 227 MOUNT PLEASANT RD, HAUPPAUGE, NY 11788-2709
- **Mailing address phone:** (631) 360-3442
- **Mailing address fax:** (631) 360-3317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 147898 | NY | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 10/01/2008