Organization
MODERN FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARINA ANDRIANOVA MD (PHYSICIAN)
(516) 512-9435
Entity
Organization
Contact information
Practice address
258 W MAIN ST, BABYLON, NY 11702-3443
(631) 517-9170
(631) 517-9113
Mailing address
258 W MAIN ST, BABYLON, NY 11702-3443
(631) 517-9170
(631) 517-9113
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
272088
NY
Other
Enumeration date
12/13/2014
Last updated
02/11/2015
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