Suffolk Medical Specialist, Pllc

LBN: Suffolk Medical Specialist, Pllc
Suffolk Medical Specialist, Pllc is an health care organization with primary practice located at 1110 Hallock Ave , Port Jefferson Station NY 11776-1210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Suffolk Medical Specialist, Pllc can be contacted via phone (631) 476-9100, or through Bennett, Norman R via phone (631) 476-9100.

Contact Information

Primary practice address
1110 Hallock Ave Port Jefferson Station NY 11776-1210
Phone: (631) 476-9100
Fax: (631) 476-4919
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Norman R Doctor of Medicine (MD)
Phone: (631) 476-9100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 159940 New York

Profile Details

NPI number 1710950688
LBN Legal business name Suffolk Medical Specialist, Pllc
DBA Doing business as
Authorized official Bennett, Norman R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2006
Last updated Dec 12th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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