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Organization
MD 365 MEDICAL CARE PLLC
Active
Organization
MD 365 MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPU ALEXANDER MD (M.D)
(631) 772-4646
Entity
Organization
Contact information
Practice address
800 MONTAUK HWY STE 18, SHIRLEY, NY 11967-2128
(631) 772-4646
(631) 772-2495
Mailing address
800-18 MONTAUK HIGHWAY, SHIRLEY, NY 11967-2128
(631) 772-4646
(631) 772-2495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
03/12/2013
Last updated
12/06/2019
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