PROFESSIONAL CORPORATION is a primary care clinic center in Bellport, NY. PROFESSIONAL CORPORATION NPI is 1508216185. The provider is registered as an organization entity type.
The provider's business location address is:
2 ACADEMY LN
BELLPORT, NY
ZIP 11713-702
Phone: (631) 286-3572
The provider's authorized official is Joseph Arthur Harder .
The authorized official title is Individual Practitioner and has the following contact phone number (631) 286-3572.
The enumeration date for this NPI number is 6/15/2016 and was last updated on 6/15/2016.