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Organization
SOUTHWEST SUFFOLK MEDICAL PC
Active
Organization
SOUTHWEST SUFFOLK MEDICAL PC
Active
Other names
Samaritan Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE HUMMEL (DIRECTOR)
(631) 465-6001
Entity
Organization
Contact information
Practice address
502 S WELLWOOD AVE, LINDENHURST, NY 11757-4925
(631) 226-8600
Mailing address
502 S WELLWOOD AVE, LINDENHURST, NY 11757-4925
(631) 226-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
01/14/2014
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