Organization
PREMIER INTERNAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE DIANE KOCH M.D. (MANAGING MEMBER)
(516) 845-1600
Entity
Organization
Contact information
Practice address
850 FULTON STREET, FARMINGDALE, NY 11735
(516) 845-1600
(516) 845-5610
Mailing address
850 FULTON STREET, FARMINGDALE, NY 11735
(516) 845-1600
(516) 845-5610
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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