Organization
MID-SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN BURGESS (ADMINISTRATOR)
(631) 434-1770
Entity
Organization
Contact information
Practice address
1770 MOTOR PKWY, ISLANDIA, NY 11749-5260
(631) 434-1770
(631) 232-3481
Mailing address
1770 MOTOR PKWY, ISLANDIA, NY 11749-5260
(631) 434-1770
(631) 232-3481
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
03/11/2011
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