SOUTHAMPTON MEDICAL PC NPI 1467666461

NPI Information

SOUTHAMPTON MEDICAL PC is a specialist in Southampton, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHAMPTON MEDICAL PC NPI is 1467666461. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

425 COUNTY ROAD 39A
SUITE 201
SOUTHAMPTON, NY
ZIP 11968-277
Phone: (631) 283-4048
Fax: (631) 283-5396

The provider's authorized official is Shobha R Patel .
The authorized official title is Owner Md and has the following contact phone number (631) 283-4048.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 11/5/2007.

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

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