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Organization

CENTERPORT FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LORRAINE FRANCES BURNS M.D. (PHYSICIAN/ DIRECTOR)
(631) 757-9500
Entity
Organization

Contact information

Practice address
2 SILLS CT, CENTERPORT, NY 11721-1634
(631) 757-9500
(631) 757-2325
Mailing address
2 SILLS CT, CENTERPORT, NY 11721-1634
(631) 757-9500
(631) 757-2325

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
230512
NY

Other

Enumeration date
07/21/2005
Last updated
09/21/2007
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