Organization
LIGHTHOUSE MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERI BILHARTZ DO MPH (PRESIDENT)
(631) 707-5213
Entity
Organization
Contact information
Practice address
144 N OCEAN AVE, PATCHOGUE, NY 11772-2004
(631) 730-5617
Mailing address
144 N OCEAN AVE, PATCHOGUE, NY 11772-2004
(631) 730-5617
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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