Organization
COUNTRY DOCTORS FAMILY MEDICINE HAUPPAUGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R. TIMSON MD (PRESIDENT)
(631) 351-8700
Entity
Organization
Contact information
Practice address
7 LAWRENCE HILL RD, HUNTINGTON, NY 11743-3143
(631) 351-8700
(631) 351-6995
Mailing address
7 LAWRENCE HILL RD, HUNTINGTON, NY 11743-3143
(631) 351-8700
(631) 351-6995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
165264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02024151
—
NY
Enumeration date
03/06/2007
Last updated
05/06/2009
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