# BAY FAMILY MEDICINE PLLC

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

## Provider details

- **NPI number:** 1972683647
- **Authorized official:** MARIA VACCARI MD (MD)
- **Authorized official phone:** (631) 969-4590

## Contact information

- **Practice address:** 220 E MAIN ST, EAST ISLIP, NY 11730-2734
- **Practice address phone:** (631) 969-4590
- **Practice address fax:** (631) 665-3928
- **Mailing address:** 220 E MAIN ST, EAST ISLIP, NY 11730-2734
- **Mailing address phone:** (631) 969-4590
- **Mailing address fax:** (631) 665-3928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 03/04/2013