Organization
MED-ONE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL I OKONTA M D (CEO/ MEDICAL DIRECTOR)
(914) 217-6309
Entity
Organization
Contact information
Practice address
4 TALON WAY, DIX HILLS, NY 11746-6239
(914) 217-6309
Mailing address
217-14 MERRICK BOULEVARD, LAUELTON, NY 11413
(914) 217-6309
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
177073
NY
261QU0200X
Urgent Care Clinic/Center
Primary
177073
NY
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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