Organization
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA M MARTIN (OFFICE ADMINISTRATOR)
(516) 379-3139
Entity
Organization
Contact information
Practice address
155 W MERRICK RD, SUITE 101, FREEPORT, NY 11520-3743
(516) 379-3139
(516) 868-0683
Mailing address
155 W MERRICK RD, SUITE 101, FREEPORT, NY 11520-3743
(516) 379-3139
(516) 868-0683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
164466
NY
207R00000X
Internal Medicine Physician
F46077
NY
207RC0000X
Cardiovascular Disease Physician
149408
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
112891
NY
363A00000X
Physician Assistant
0107171
NY
363LA2200X
Adult Health Nurse Practitioner
F3019041
NY
Other
Enumeration date
10/30/2007
Last updated
10/31/2007
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