Organization
SHOREHAM MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OWEN YEN M.D. (SHAREHOLDER)
(631) 744-3303
Entity
Organization
Contact information
Practice address
45 ROUTE 25A, SHOREHAM, NY 11786-1389
(631) 744-3303
(631) 744-1627
Mailing address
45 ROUTE 25A, SHOREHAM, NY 11786-1389
(631) 744-3303
(631) 744-1627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NY
207RC0000X
Cardiovascular Disease Physician
Primary
—
NY
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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