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Organization
PORT JEFFERSON EKG ASSOCIATES
Active
Organization
PORT JEFFERSON EKG ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA ROMANO (MANAGER)
(631) 642-0183
Entity
Organization
Contact information
Practice address
JOHN T. MATHER MEMORIAL HOSPITAL, 75 NORTH COUNTRY ROAD, PORT JEFFERSON, NY 11777
(631) 642-0183
(631) 642-0183
Mailing address
PO BOX 977, PORT JEFFERSON STATION, NY 11776-0830
(631) 642-0183
(631) 642-0183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
120676
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI0267
RAILROAD MEDICARE
NY
Enumeration date
02/12/2008
Last updated
05/21/2008
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