Organization
BAY SHORE FAMILY MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON R GIRALDO M.D. (SUPERVISING PHYSICIAN)
(631) 665-8006
Entity
Organization
Contact information
Practice address
2915 SUNRISE HWY, ISLIP TERRACE, NY 11752-2716
(631) 446-1006
(631) 446-1009
Mailing address
2915 SUNRISE HWY, ISLIP TERRACE, NY 11752-2716
(631) 446-1006
(631) 446-1009
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
175993-1
NY
Other
Enumeration date
07/29/2005
Last updated
05/04/2010
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