NPI 1063846194

Tmh Medical Home PC

Organisation Family Medicine Physician Riverhead, NY

Practice location

Address: 1274 E Main St, Riverhead, NY 11901-2583
Phone: (631) 284-3793
Fax: (631) 729-3111
Mailing address: 1272 E Main St, Riverhead, NY 11901-2583

Authorised official

Name: Bellamy Brook
Title: Medical Director
Phone: (631) 284-3793

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in New York →

Urgent Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QU0200X Licence 215053 (NY)

Other Clinic/Center providers in New York →

Registry record

NPI: 1063846194
Entity type: Organization
NPI issued: 26 Aug 2013
Record last updated: 12 Feb 2015

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.