Organization
INFECTIOUS DISEASE MEDICAL PRACTICE OF NY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA R. LESSER DO (PRESIDENT)
(631) 864-6111
Entity
Organization
Contact information
Practice address
48 ROUTE 25A, SUITE 308, SMITHTOWN, NY 11787-1431
(631) 864-6111
(631) 864-5004
Mailing address
16 MEDFORD LN, EAST NORTHPORT, NY 11731-5228
(631) 864-6111
(631) 486-4498
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
01/14/2014
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