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Organization
WOMACK PRIMARY MEDICAL CARE, PLLC
Active
Organization
WOMACK PRIMARY MEDICAL CARE, PLLC
Active
Other names
Womack Internal Medicine, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE H WOMACK M.D. (CHIEF MEDICAL OFFICER)
(631) 277-0051
Entity
Organization
Contact information
Practice address
400 MONTAUK HWY, STE 111, WEST ISLIP, NY 11795-4429
(631) 277-0051
(631) 277-2690
Mailing address
26 RAILROAD AVE # 205, BABYLON, NY 11702-2204
(631) 277-0051
(631) 277-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02214588
—
NY
01
—
153114
VYTRA HEALTHCARE
NY
01
—
3298766
AETNA/US HEALTHCARE
NY
01
—
P00165433
RAILROAD MEDICARE
NY
01
—
P2912790
OXFORD HEALTH PLAN
NY
Enumeration date
09/20/2006
Last updated
01/12/2017
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