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ISLAND MEDICAL HOUSE DOCTOR PC NPI 1477704005


NPI Information

NPI: 1477704005
Provider Name: ISLAND MEDICAL HOUSE DOCTOR PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
88 ARKAY DR
HAUPPAUGE, NY
ZIP 11788
Phone: (631) 514-7600
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ISLAND MEDICAL HOUSE DOCTOR PC is a family medicine in Hauppauge, 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. ISLAND MEDICAL HOUSE DOCTOR PC NPI is 1477704005. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

88 ARKAY DR
HAUPPAUGE, NY
ZIP 11788-757
Phone: (631) 514-7600
Fax: (631) 514-7601

The provider's authorized official is Daniel Ralph Ferrara .
The authorized official title is President and has the following contact phone number (631) 514-7600.

The enumeration date for this NPI number is 10/1/2008 and was last updated on 10/1/2008.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNY170935NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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