Organization
WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C.
Active
Other names
ISLAND WIDE MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP D RAGNO M.D. (CO-PRESIDENT)
(516) 877-2626
Entity
Organization
Contact information
Practice address
1401 FRANKLIN AVE, GARDEN CITY, NY 11530-1613
(516) 877-2626
Mailing address
700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471
(516) 576-5692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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