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Organization
TWIN FORKS MEDICAL PC
Active
Organization
TWIN FORKS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EYAD ALI M.D. (PRESIDENT)
(631) 728-1128
Entity
Organization
Contact information
Practice address
332 W MONTAUK HWY, SUITE 1, HAMPTON BAYS, NY 11946-3551
(631) 723-0600
Mailing address
332 W MONTAUK HWY, SUITE 1, HAMPTON BAYS, NY 11946-3551
(631) 723-0600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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