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Organization

PORT EMERGENCY MEDICAL SERVICES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY CHARLEY ESQ (VP LEGAL)
(240) 686-2300
Entity
Organization

Contact information

Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1968
(844) 474-4019
Mailing address
12420 MILESTONE CENTER DR STE 200, GERMANTOWN, MD 20876-7111
(240) 686-2300

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
WBW991
BCBS GROUP NUMBER
NY
Enumeration date
11/11/2005
Last updated
02/24/2023
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