Organization
ISLAND MEDICAL HOUSE DOCTOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RALPH FERRARA DO (PRESIDENT)
(631) 514-7600
Entity
Organization
Contact information
Practice address
88 ARKAY DR, HAUPPAUGE, NY 11788-3757
(631) 514-7600
(631) 514-7601
Mailing address
88 ARKAY DR, HAUPPAUGE, NY 11788-3757
(631) 514-7600
(631) 514-7601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NY170935
NY
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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