# LONG ISLAND FAMILY MEDICAL GROUP PC

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

## Provider details

- **NPI number:** 1841223369
- **Authorized official:** MARGARET M SIMAT (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (631) 589-8324

## Contact information

- **Practice address:** 631 LAKE AVE, ST JAMES, NY 11780
- **Practice address phone:** (631) 878-7134
- **Practice address fax:** (631) 878-5118
- **Mailing address:** 631 LAKE AVENUE, ST. JAMES, NY 11780
- **Mailing address phone:** (631) 589-8324
- **Mailing address fax:** (631) 589-4793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 07/23/2009