Organization
CAREFIRST FAMILY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FANGQIN LI MD (DIRECTOR)
(631) 751-6389
Entity
Organization
Contact information
Practice address
353 VETERANS MEMORIAL HWY, COMMACK, NY 11725-4200
(631) 864-8535
(631) 864-8504
Mailing address
163 SYCAMORE CIR, STONY BROOK, NY 11790-3171
(631) 751-6389
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
240642
NY
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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