Organization
SUFFOLK CHEST PHYSICIANS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA A MULRY RN (OFFICE MANAGER)
(631) 654-4577
Entity
Organization
Contact information
Practice address
285 SILLS RD, BUILDING 7, SUITE B, EAST PATCHOGUE, NY 11772-4869
(631) 654-4577
(631) 654-3391
Mailing address
285 SILLS RD, BUILDING 7, SUITE B, EAST PATCHOGUE, NY 11772-4869
(631) 654-4577
(631) 654-3391
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02556187
—
NY
Enumeration date
01/02/2007
Last updated
08/16/2007
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