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Organization

EASTERN LONG ISLAND FAMILY MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER NG M.D. (PRESIDENT)
(631) 751-3883
Entity
Organization

Contact information

Practice address
100 S JERSEY AVE, SUITE 14, EAST SETAUKET, NY 11733-2034
(631) 751-3883
(631) 751-3909
Mailing address
100 S JERSEY AVE, SUITE 14, EAST SETAUKET, NY 11733-2034
(631) 751-3883
(631) 751-3909

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
211195
NY

Other

Enumeration date
04/03/2008
Last updated
10/23/2013
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