Organization
EVERGREEN MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MALEK (MANAGER)
(631) 413-4765
Entity
Organization
Contact information
Practice address
738 SMITHTOWN BYP STE 204, SMITHTOWN, NY 11787-5024
(631) 413-4765
(516) 977-3448
Mailing address
738 SMITHTOWN BYP STE 204, SMITHTOWN, NY 11787-5024
(631) 413-4765
(516) 977-3448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
06/16/2025
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