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Organization
PHYSICIANS PRIVATE PRACTICE, PLLC
Active
Organization
PHYSICIANS PRIVATE PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA TSARKALIS M.D. (PHYSICIAN)
(631) 265-2222
Entity
Organization
Contact information
Practice address
222 MIDDLE COUNTRY RD, SUITE 103, SMITHTOWN, NY 11787-2871
(631) 265-2222
(631) 265-2227
Mailing address
222 MIDDLE COUNTRY RD, SUITE 103, SMITHTOWN, NY 11787-2871
(631) 265-2222
(631) 265-2227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
251788
NY
207R00000X
Internal Medicine Physician
250691
NY
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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