Organization
MIDDLE COUNTRY PEDIATRICS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD LAU M.D. (PARTNER)
(631) 698-4932
Entity
Organization
Contact information
Practice address
1344 MIDDLE COUNTRY RD STE 4, CENTEREACH, NY 11720-3585
(631) 698-4932
(631) 698-2453
Mailing address
1344-4 MIDDLE COUNTRY RD, CENTEREACH, NY 11720
(631) 698-4932
(631) 698-2453
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
213354
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02825785
—
NY
Enumeration date
04/28/2008
Last updated
04/28/2008
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