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Organization
SMITHTOWN CARDIOVASCULAR RISK INTERVENTION PROGRAM
Active
Organization
SMITHTOWN CARDIOVASCULAR RISK INTERVENTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN S LOWN M.D. (CEO)
(631) 427-1818
Entity
Organization
Contact information
Practice address
104 LA RUE DR, HUNTINGTON, NY 11743-2502
(631) 427-1818
(631) 427-2220
Mailing address
104 LA RUE DR, HUNTINGTON, NY 11743-2502
(631) 427-1818
(631) 427-2220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2046731
NY
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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