Organization
SEAFORD FAMILY PRACTICE-INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRNA R ELFENBEIN (OFFICE ADMINISTRATOR)
(516) 785-0660
Entity
Organization
Contact information
Practice address
3921 MERRICK RD, SEAFORD, NY 11783-2823
(516) 785-0660
(516) 785-1099
Mailing address
3921 MERRICK RD, SEAFORD, NY 11783-2823
(516) 785-0660
(516) 785-1099
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
07653
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07653
STATE LICENSE
NY
Enumeration date
02/18/2007
Last updated
11/04/2013
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