NPI 1891028650

Healthsource Medical Services PLLC

Organisation Internal Medicine Physician Islandia, NY

Practice location

Address: 3001 Express Dr N STE 200c, Islandia, NY 11749-5301
Phone: (631) 435-0110
Mailing address: PO Box 206, East Setauket, NY 11733-0206

Authorised official

Name: John Folan
Title: MD
Phone: (631) 435-0110

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 167755 (NY)

Other Internal Medicine providers in New York →

Registry record

NPI: 1891028650
Entity type: Organization
NPI issued: 11 Sep 2009
Record last updated: 11 Aug 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.