Centereach Medical Care PC
Organization Active NPI Internal Medicine Physician · Centereach, NY
NPI 1659554178 · NPPES record last updated Jun 2, 2009
Key facts
- NPI
- 1659554178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- NY128949 (NY)
- Legal business name
- CENTEREACH MEDICAL CARE PC
- Practice address
- 18 Eastwood Blvd
Centereach, NY 11720 - Phone
- (631) 461-3600
- Fax
- (631) 467-3755
- NPI assigned
- Dec 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dennis U Carbonell, MD
- Title
- Owner President
- Phone
- (631) 467-3600
Practitioners 2
-
Nuzhat Faridi, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | NY128949 | NY | Yes |
Addresses
Primary practice location
18 Eastwood Blvd
Centereach, NY 11720
Mailing address
18 Eastwood Blvd
Centereach, NY 11720
Phone (631) 461-3600
Other providers in Centereach, NY
- Leonard Matthew Catanzaro
- Jamie Christian Cavalieri
- Joan Carol Cavanagh
- Rachel L Cazalet
- Centereach Fire District
- Centereach Medical Office P.C.
- Centereach RX Inc.
- Centereach RX Inc.
- Lawrence Joseph Cepelak Jr.
- Lynette Marie Chacona
All providers in Centereach, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.