Organization
KIDS FIRST PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIAN FORLETTI M.D. (PHYSICIAN)
(631) 331-7267
Entity
Organization
Contact information
Practice address
815 HALLOCK AVE, SUITE A, PORT JEFFERSON STATION, NY 11776-1220
(631) 331-7267
(631) 331-7289
Mailing address
815 HALLOCK AVE, SUITE A, PORT JEFFERSON STATION, NY 11776-1220
(631) 331-7267
(631) 331-7289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
164113
NY
Other
Enumeration date
11/14/2007
Last updated
05/19/2008
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