Organization
ISLAND EMERGENCY MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FERRARA D.O. (OWNER MEDICAL DIRECTOR)
(800) 377-8721
Entity
Organization
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Mailing address
PO BOX 409213, ATLANTA, GA 30384-9213
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02093185
—
NY
Enumeration date
06/25/2007
Last updated
08/22/2020
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