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Organization
NEW YORK INSTITUTE OF TECHNOLOGY
Active
Organization
NEW YORK INSTITUTE OF TECHNOLOGY
Active
Other names
Family Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY CHARLES (ASSOCIATE DIRECTOR)
(516) 686-4969
Entity
Organization
Contact information
Practice address
250 CARLETON AVE, CENTRAL ISLIP, NY 11722-4505
(631) 348-3254
(631) 348-3031
Mailing address
250 CARLETON AVE, CENTRAL ISLIP, NY 11722-4505
(631) 348-3254
(631) 348-3031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992738538
GROUP NPI NUMBER
NY
01
—
W05882
MEDICARE GROUP NUMBER
NY
Enumeration date
07/08/2006
Last updated
04/09/2026
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