NPI 1013316785

Southampton Primacare Medical PC

Organisation Specialist Southampton, NY

Practice location

Address: 425 County Road 39a, Southampton, NY 11968-5277
Phone: (631) 283-0957

Authorised official

Name: Steven Salvatore
Title: Owner
Phone: (631) 283-0957

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 182616 (NY)

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Registry record

NPI: 1013316785
Entity type: Organization
NPI issued: 19 Aug 2014
Record last updated: 4 Sep 2014

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.