Organization
TERRYVILLE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BIASETTI M.D. (PARTNER)
(631) 928-2002
Entity
Organization
Contact information
Practice address
116 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1329
(631) 928-2002
(631) 928-4934
Mailing address
PO BOX 994, PORT JEFFERSON STATION, NY 11776-0847
(631) 928-2002
(631) 928-4934
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
09600
NY
Other
Enumeration date
01/10/2006
Last updated
08/22/2020
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