NPI 1003179359

Men's Medical New York, P.C.

Organisation General Practice Physician Jericho, NY

Practice location

Address: 99 Jericho Tpke Suite 202, Jericho, NY 11753-1073
Phone: (516) 442-4444

Authorised official

Name: Lawrence a Smiley
Title: Physician
Phone: (516) 442-4444

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 158862 (NY)

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Registry record

NPI: 1003179359
Entity type: Organization
NPI issued: 21 Jun 2012
Record last updated: 21 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.