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Organization
SOUTHWEST SUFFOLK, P.C
Active
Organization
SOUTHWEST SUFFOLK, P.C
Active
Other names
Siena Proactive Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI HUMMEL (DIRECTOR)
(631) 465-6001
Entity
Organization
Contact information
Practice address
48 ROUTE 25A, SUITE 210, SMITHTOWN, NY 11787-1431
(631) 465-6225
Mailing address
48 ROUTE 25A, SUITE 210, SMITHTOWN, NY 11787-1431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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