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Organization
LONG ISLAND PRIMARY MEDICAL CARE
Active
Organization
LONG ISLAND PRIMARY MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL WALSH (CEO)
(516) 827-4500
Entity
Organization
Contact information
Practice address
120 BETHPAGE RD, HICKSVILLE, NY 11801-1515
(516) 827-4500
(516) 827-4508
Mailing address
120 BETHPAGE RD, HICKSVILLE, NY 11801-1515
(516) 827-4500
(516) 827-4508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
04/07/2009
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