Organization
FAMILY MEDICINE OF LI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONAN MONSEF D.O. (PRESIDENT)
(631) 320-3200
Entity
Organization
Contact information
Practice address
3650 ROUTE 112, SUITE 101, CORAM, NY 11727-4131
(631) 320-3200
(631) 880-7603
Mailing address
3650 ROUTE 112, SUITE 101, CORAM, NY 11727-4131
(631) 320-3200
(631) 880-7603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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