Organization
MACRO MEDICAL DIAGNOSTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MCWILLIAMS MD (DIRECTOR)
(631) 331-4268
Entity
Organization
Contact information
Practice address
464 MAIN ST, SUITE B, PORT JEFFERSON, NY 11777-2814
(631) 331-4268
(631) 331-4459
Mailing address
PO BOX 547, PORT JEFFERSON, NY 11777-0547
(631) 331-4268
(631) 331-4459
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
208276
NY
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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