Organization
PHYSICIANS INDEPENDANT PRACTIONERS ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOERKE GURSKI (ADMIN)
(631) 422-3507
Entity
Organization
Contact information
Practice address
400 W MAIN ST STE 337, BABYLON, NY 11702-3009
(631) 422-3507
(631) 422-3723
Mailing address
400 W MAIN ST STE 337, BABYLON, NY 11702-3009
(631) 422-3507
(631) 422-3723
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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