EAST END PHYSICIAN SERVICES PC
Osteopathic Medicine in Southold, NY

License number
New York 153210-1
Category
Osteopathic Medicine
Type
Internal Medicine
License number
New York 153210-1
Category
Osteopathic Medicine
Type
Addiction Medicine
Owner
Name: DR. LLOYD DOUGLAS SIMON MD
Title: PRESIDENT (CORPORATION)
Phone: (631) 765-4150
Address
Address
44210 County Rd. 48, Southold, NY 11971
National Provider ID: 1407191364
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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East End Physician Services PC

44210 County Rd 48, Southold, NY 11971

Status:
Inactive
Industry:
Medical Doctor's Office, Nonclassifiable Establishments, Offices and Clinics of Medical Doctors, Nsk

Osteopathic Medicine licenses in New York




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