# MEDICAL SERVICES OF SETAUKET, P.C.

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

## Provider details

- **NPI number:** 1861026106
- **Authorized official:** MRS. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO)
- **Authorized official phone:** (516) 321-6058

## Contact information

- **Practice address:** 3400 NESCONSET HWY STE 101, EAST SETAUKET, NY 11733-3327
- **Practice address phone:** (631) 751-8700
- **Practice address fax:** (631) 751-5971
- **Mailing address:** 3400 NESCONSET HWY STE 101, EAST SETAUKET, NY 11733-3327
- **Mailing address phone:** (631) 751-8700
- **Mailing address fax:** (631) 751-5971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |
| 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