# AMITYVILLE INTERNAL MEDICINE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780855817
- **Authorized official:** KELLI QUENZER (BILLING SECRETARY)
- **Authorized official phone:** (631) 264-0924

## Contact information

- **Practice address:** 49 IRELAND PL, AMITYVILLE, NY 11701-2902
- **Practice address phone:** (631) 264-0924
- **Practice address fax:** (631) 264-3503
- **Mailing address:** 49 IRELAND PL, AMITYVILLE, NY 11701-2902
- **Mailing address phone:** (631) 264-0924
- **Mailing address fax:** (631) 264-3503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 132857 | NY | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 04/13/2015