Individual
JAMES W FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 W MAIN ST, EAST ISLIP, NY 11730-2216
(631) 581-2049
(631) 581-3354
Mailing address
1010 NORTHERN BLVD STE 328, GREAT NECK, NY 11021-5329
(516) 233-2484
(516) 304-5850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
150415
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00813869
—
NY
Enumeration date
06/02/2005
Last updated
10/22/2024
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