Organization
GREAT SOUTH BAY FAMILY MEDICAL PRACTICE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIE WESTBAY (PRACTICE ADMINISTRATOR)
(631) 563-6205
Entity
Organization
Contact information
Practice address
213 MONTAUK HWY, WEST SAYVILLE, NY 11796-1800
(631) 563-6205
(631) 563-7718
Mailing address
213 MONTAUK HWY, WEST SAYVILLE, NY 11796-1800
(631) 563-6205
(631) 563-7718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
12/01/2011
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