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Organization
PHYSICIANS CARE OF LONG ISLAND
Active
Organization
PHYSICIANS CARE OF LONG ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JENKINS MD (OWNER)
(516) 935-7272
Entity
Organization
Contact information
Practice address
366 N BROADWAY, STE 305, JERICHO, NY 11753-2000
(516) 935-7272
Mailing address
366 N BROADWAY, STE 305, JERICHO, NY 11753-2000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
203818
NY
Other
Enumeration date
04/20/2007
Last updated
04/10/2008
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