Organization
HT MEDICAL HEALTH OF PORT JEFFERSON STATION PLLC
Active
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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