Organization
MAIN STREET PRIMARY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER GARENANI M.D. (PRESIDENT/OWNER)
(631) 428-3369
Entity
Organization
Contact information
Practice address
475 E MAIN ST STE 103, PATCHOGUE, NY 11772-3121
(631) 447-6100
(631) 447-6126
Mailing address
PO BOX 993, HOLBROOK, NY 11741-0993
(631) 447-6100
(631) 758-8239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2007
Last updated
10/28/2007
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