Organization
COMPCARE MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAI-WEN MA M.D. (PRESIDENT)
(631) 332-6704
Entity
Organization
Contact information
Practice address
12 PADDOCK DR, NORTHPORT, NY 11768-2742
(631) 332-6704
Mailing address
PO BOX 519, COMMACK, NY 11725-0519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
218259
NY
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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