Organization
CENTRAL ISLAND INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE MAQUINE D.O. (MEDICAL DIRECTOR)
(516) 850-8451
Entity
Organization
Contact information
Practice address
202 FALLWOOD PKWY, FARMINGDALE, NY 11735-4929
(516) 249-1999
(516) 249-1919
Mailing address
202 FALLWOOD PKWY, FARMINGDALE, NY 11735-4929
(516) 249-1999
(516) 249-1919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
198062
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198062
NYS LICENSE
NY
Enumeration date
12/30/2010
Last updated
12/30/2010
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