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Organization
NORTH COUNTRY PRIMARY MEDICAL CARE, P.C.
Active
Organization
NORTH COUNTRY PRIMARY MEDICAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGPREET DHILLON M.D. (PRESIDENT)
(631) 821-8911
Entity
Organization
Contact information
Practice address
43 RADIO AVE, MILLER PLACE, NY 11764-3125
(631) 821-8911
(631) 821-8912
Mailing address
43 RADIO AVE, MILLER PLACE, NY 11764-3125
(631) 821-8911
(631) 821-8912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
210655
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210655
NYS LICENSE
NY
Enumeration date
01/28/2008
Last updated
01/28/2008
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