Organization
HT MEDICAL HEALTH OF PORT JEFFERSON STATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARUN BAJAJ (BILLER)
(718) 554-1024
Entity
Organization
Contact information
Practice address
11 MEDICAL DR STE B, PORT JEFFERSON STATION, NY 11776-1589
(718) 554-1042
Mailing address
11 MEDICAL DR STE B, PORT JEFFERSON STATION, NY 11776-1589
(718) 554-1024
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
11/14/2018
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