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Organization
MEDICAL SERVICES OF SETAUKET, P.C.
Active
Organization
MEDICAL SERVICES OF SETAUKET, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
3400 NESCONSET HWY STE 101, EAST SETAUKET, NY 11733-3327
(631) 751-8700
(631) 751-5971
Mailing address
3400 NESCONSET HWY STE 101, EAST SETAUKET, NY 11733-3327
(631) 751-8700
(631) 751-5971
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/25/2020
Last updated
07/08/2022
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