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Organization
LONG ISLAND FAMILY MEDICAL GROUP PC
Active
Organization
LONG ISLAND FAMILY MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M SIMAT (PRACTICE ADMINISTRATOR)
(631) 589-8324
Entity
Organization
Contact information
Practice address
631 LAKE AVE, ST JAMES, NY 11780
(631) 878-7134
(631) 878-5118
Mailing address
631 LAKE AVENUE, ST. JAMES, NY 11780
(631) 589-8324
(631) 589-4793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
07/23/2009
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