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Organization
WINTHROP COMMUNITY MEDICAL AFFILIATES
Active
Organization
WINTHROP COMMUNITY MEDICAL AFFILIATES
Active
Other names
Bethpage Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP RAGNO MD (CO-PRESIDENT)
(516) 877-2629
Entity
Organization
Contact information
Practice address
530 HICKSVILLE RD, BETHPAGE, NY 11714-3415
(516) 576-5822
(516) 576-5801
Mailing address
700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471
(516) 937-5000
(516) 931-2535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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