National Provider Identifier Database

MID SUFFOLK MEDICAL CARE PC
Legal Medicine

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.


Contact Information

MID-SUFFOLK MEDICAL CARE PC
6277 JERICHO TPKE
COMMACK, NY11725-2837
Phone: 631-462-6644
Fax: 631-462-9890
Website:
Specialty Taxonomy Code
* Legal Medicine 173000000X

* Indicates primary specialty

NPI Profile & details for MID-SUFFOLK MEDICAL CARE PC

NPI Number 1811186083
Legal business name
LBN
MID-SUFFOLK MEDICAL CARE PC
Authorized official MOHAMMED AZAZ - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/23/2007
Last updated 01/08/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 220310
  • NY Medicaid: 02131226

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.

Reviews for MID-SUFFOLK MEDICAL CARE PC

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