NORTH SHORE IMMEDIATE MEDICAL CARE P.C. NPI 1225253537

NPI Information

NORTH SHORE IMMEDIATE MEDICAL CARE P.C. is a family medicine in Port Jefferson Station, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTH SHORE IMMEDIATE MEDICAL CARE P.C. NPI is 1225253537. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

509 PATCHOGUE RD
PORT JEFFERSON STATION, NY
ZIP 11776-006
Phone: (631) 331-1100
Fax: (631) 331-0223

The provider's authorized official is Antoun Saba Mitromaras .
The authorized official title is President and has the following contact phone number (631) 331-1100.

The CLIA number assigned to this NPI record is 33D0891257 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 3/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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