Organization
MEDICAL SERVICES OF NEW HYDE PARK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLEEN HANSEN (DIRECTOR OF FINANCE)
(516) 992-4563
Entity
Organization
Contact information
Practice address
1010 ROUTE 112 STE 300, PORT JEFFERSON STATION, NY 11776-3386
(631) 886-4805
Mailing address
275 SUNRISE HWY, MERRICK, NY 11566-3729
(516) 992-4563
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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