Organization
CAREMED PRIMARY AND URGENT CARE PC
Active
Other names
Middle Country Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
JODI SILVER-SMITH (PRACTICE ADMINISTRATOR)
(631) 475-3900
Entity
Organization
Contact information
Practice address
1 E ROE BLVD, PATCHOGUE, NY 11772-2631
(631) 475-3900
(631) 475-5166
Mailing address
1 E ROE BLVD, PATCHOGUE, NY 11772-2631
(631) 475-3900
(631) 475-5166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
271435
NY
207R00000X
Internal Medicine Physician
Primary
271435
NY
213E00000X
Podiatrist
—
—
261QU0200X
Urgent Care Clinic/Center
271435
NY
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04770283
—
NY
Enumeration date
11/07/2014
Last updated
07/07/2020
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