Organization
SUFFOLK INTERNAL MEDICINE ASSOC
Active
Organization
SUFFOLK INTERNAL MEDICINE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SAMUELS (PRESIDENT)
(631) 587-7733
Entity
Organization
Contact information
Practice address
500 MONTAUK HWY, SUITE S, WEST ISLIP, NY 11795-4418
(631) 587-7733
Mailing address
500 MONTAUK HWY, SUITE S, WEST ISLIP, NY 11795-4418
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
03/04/2008
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