Organization
LAKE FAMILY MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A TUFANO DO (CEO)
(631) 981-1333
Entity
Organization
Contact information
Practice address
201 PORTION RD STE A, LAKE RONKONKOMA, NY 11779-4172
(631) 981-1333
(631) 981-2326
Mailing address
201 PORTION RD STE A, LAKE RONKONKOMA, NY 11779-4172
(631) 981-1333
(631) 981-2326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
11/13/2024
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