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Contact Information

INFECTIOUS DISEASE MEDICAL PRACTICE OF NY LLC
48 ROUTE 25A
SUITE 308
SMITHTOWN, NY11787-1431
 Phone: 631-864-6111
 Fax: 631-864-5004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INFECTIOUS DISEASE MEDICAL PRACTICE OF NY LLC · (Female)

NPI # 1225255524
Status Active
Credentials
Entity Individual
Enumeration date 04/19/2007
Last updated 01/14/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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