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WINTHROP COMMUNITY MEDICAL AFFILIATES PC NPI 1932564630


NPI Information

NPI: 1932564630
Provider Name: WINTHROP COMMUNITY MEDICAL AFFILIATES, PC

Doing Business As: GREENPORT PRIMARY MEDICAL CARE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 33D0160583

Address:
74825 MAIN RD
GREENPORT, NY
ZIP 11944
Phone: (631) 477-7120
Get Directions

WINTHROP COMMUNITY MEDICAL AFFILIATES, PC is an internal medicine in Greenport, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WINTHROP COMMUNITY MEDICAL AFFILIATES, PC NPI is 1932564630. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Greenport Primary Medical Care.

The provider's business location address is:

74825 MAIN RD
GREENPORT, NY
ZIP 11944-823
Phone: (631) 477-7120
Fax: (631) 477-2983

The provider's authorized official is Philip Ragno .
The authorized official title is Co-president and has the following contact phone number (516) 877-2629.

The CLIA number assigned to this NPI record is 33D0160583 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2015 and was last updated on 12/22/2015.


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
1207R00000XInternal MedicineYes

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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