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Organization
NORTHPORT FAMILY MEDICINE P.C
Active
Organization
NORTHPORT FAMILY MEDICINE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN R LAMPERT MD (PRESIDENT)
(631) 261-4445
Entity
Organization
Contact information
Practice address
325 MAIN ST, NORTHPORT, NY 11768-1790
(631) 261-4445
(631) 261-3710
Mailing address
325 MAIN ST, NORTHPORT, NY 11768-1790
(631) 261-4445
(631) 261-3710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00533248
—
NY
05
—
00590001
—
NY
05
—
02089572
—
NY
05
—
02383080
—
NY
05
—
03125188
—
NY
Enumeration date
05/21/2008
Last updated
08/19/2010
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