Organization
51 JOHN STREET MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA A FULLER (OFFICE MANAGER)
(631) 661-0400
Entity
Organization
Contact information
Practice address
51 JOHN ST STE 4, BABYLON, NY 11702-2928
(631) 661-0400
(631) 661-0463
Mailing address
51 JOHN ST, SUITE 4, BABYLON, NY 11702-2928
(631) 669-0500
(631) 661-0463
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2011
Last updated
07/22/2020
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