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Organization
HEALTHSOURCE MEDICAL SERVICES PLLC
Active
Organization
HEALTHSOURCE MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FOLAN M.D (MD)
(631) 435-0110
Entity
Organization
Contact information
Practice address
3001 EXPRESS DR N STE 200C, ISLANDIA, NY 11749-5301
(631) 435-0110
Mailing address
PO BOX 206, EAST SETAUKET, NY 11733-0206
(631) 435-0110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
167755
NY
Other
Enumeration date
09/11/2009
Last updated
08/11/2014
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