Organization
INFECTIOUS DISEASES MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA BLANDON (OFFICE MANAGER)
(631) 376-6075
Entity
Organization
Contact information
Practice address
40 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 376-6075
Mailing address
40 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 376-6075
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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