NPI 1508066440

Northside Primary Medical Care PC

Organisation Internal Medicine Physician Islandia, NY

Practice location

Address: 3001 Expressway Dr N Suite 200c, Islandia, NY 11749-5301
Phone: (631) 435-4358
Fax: (631) 435-4583

Authorised official

Name: Wei K Kao
Title: President
Phone: (631) 435-4358

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 160056 (NY)

Other Internal Medicine providers in New York →

Registry record

NPI: 1508066440
Entity type: Organization
NPI issued: 19 Jul 2007
Record last updated: 2 Oct 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.