Organization
CENTEREACH MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS U CARBONELL MD (OWNER PRESIDENT)
(631) 467-3600
Entity
Organization
Contact information
Practice address
18 EASTWOOD BLVD, CENTEREACH, NY 11720
(631) 461-3600
(631) 467-3755
Mailing address
18 EASTWOOD BLVD, CENTEREACH, NY 11720
(631) 461-3600
(631) 467-3755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NY128949
NY
Other
Enumeration date
12/06/2007
Last updated
06/02/2009
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