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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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