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Organization

BAY FAMILY MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA VACCARI MD (MD)
(631) 969-4590
Entity
Organization

Contact information

Practice address
220 E MAIN ST, EAST ISLIP, NY 11730-2734
(631) 969-4590
(631) 665-3928
Mailing address
220 E MAIN ST, EAST ISLIP, NY 11730-2734
(631) 969-4590
(631) 665-3928

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/17/2006
Last updated
03/04/2013
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