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Organization

BETHPAGE MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRIANA FARLEY (CREDENTIAL COORDINATOR)
(516) 414-5865
Entity
Organization

Contact information

Practice address
4150 SUNRISE HWY, MASSAPEQUA, NY 11758-5303
(516) 414-6900
Mailing address
P.O BOX 310, PLAINVIEW, NY 11803
(516) 414-5865

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary

Other

Enumeration date
04/03/2017
Last updated
04/03/2017
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