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Organization
THREE VILLAGE MEDICINE PC
Active
Organization
THREE VILLAGE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED SHABAHAT HUSSAIN MD (CEO)
(516) 946-0000
Entity
Organization
Contact information
Practice address
24 JEFFERSON LANDING CIR, PORT JEFFERSON, NY 11777-1978
(516) 946-0000
Mailing address
24 JEFFERSON LANDING CIR, PORT JEFFERSON, NY 11777-1978
(516) 946-0000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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