Family Medicine of Li PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE OF LI PC

Practice address

3650 Route 112
Suite 101
Coram, NY 11727-4131

Phone

(631) 320-3200

Fax

(631) 880-7603

NPI assigned

Mar 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ronan Monsef, D.O.

Title

President

Phone

(631) 320-3200

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1114292802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 ROUTE 112",
            "address_2": "SUITE 101",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274131",
            "telephone_number": "631-320-3200",
            "fax_number": "631-880-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 ROUTE 112",
            "address_2": "SUITE 101",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274131",
            "telephone_number": "631-320-3200",
            "fax_number": "631-880-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF LI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "MONSEF",
        "authorized_official_first_name": "RONAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-320-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Joseph Fallon, LMT
• Stashanna Farquharson-Webb, MSW
• Lauren Fasano, LMSW
• Christine Felice, LMSW
• Nicole Marie Feliciano
• Alexis Fallon Felicio

• Family Medicine Physician in Coram, NY
• Providers in Coram, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.