NPI 1467666461

Southampton Medical PC

Organisation Specialist Southampton, NY

Practice location

Address: 425 County Road 39a Suite 201, Southampton, NY 11968-5277
Phone: (631) 283-4048
Fax: (631) 283-5396

Authorised official

Name: Shobha R Patel
Title: Owner MD
Phone: (631) 283-4048

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 203693 (NY)

Other Specialist providers in New York →

Registry record

NPI: 1467666461
Entity type: Organization
NPI issued: 9 May 2007
Record last updated: 5 Nov 2007

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.