Organization
PATCHOGUE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DAVIS DO (PARTNER)
(908) 451-5362
Entity
Organization
Contact information
Practice address
100 N CENTRE AVE, ROCKVILLE CENTRE, NY 11570-3937
(646) 504-3116
Mailing address
244 5TH AVE STE V273, NEW YORK, NY 10001-7604
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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