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Organization
SETAUKET PRIMARY MEDICAL CARE PC
Active
Organization
SETAUKET PRIMARY MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA ADAMS D.O. (OWNER)
(631) 941-4480
Entity
Organization
Contact information
Practice address
12 BREWSTER LN, EAST SETAUKET, NY 11733-2922
(631) 941-4480
(631) 941-4054
Mailing address
12 BREWSTER LN, EAST SETAUKET, NY 11733-2922
(631) 941-4480
(631) 941-4054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2278671
NY
363LF0000X
Family Nurse Practitioner
4893961
NY
363LF0000X
Family Nurse Practitioner
Primary
F3040001
NY
363LF0000X
Family Nurse Practitioner
F334091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC2402
MEDICARE RAIL ROAD
NY
Enumeration date
10/12/2006
Last updated
09/11/2025
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