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Organization
NORTH OCEAN FAMILY MEDICINE
Active
Organization
NORTH OCEAN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA SANTIAGO M.D. (PRESIDENT/OWNER)
(631) 732-6984
Entity
Organization
Contact information
Practice address
5 ROOSEVELT AVE, PORT JEFFERSON STATION, NY 11776
(631) 732-6984
(631) 732-7019
Mailing address
5 ROOSEVELT AVE, PORT JEFFERSON STATION, NY 11776-3336
(631) 732-6984
(631) 732-7019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
217808
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02162494
—
NY
Enumeration date
10/05/2006
Last updated
05/22/2014
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