JAMES W FERGUSON MD LLC
Ambulatory Health at Main St, East Islip, NY

License number
New York 150415
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. JAMES W FERGUSON MD
Title: OWNER
Phone: (631) 581-2049
Address
Address
170 W Main St, East Islip, NY 11730
National Provider ID: 1336395417
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAMES W. FERGUSON, M.D., LLC

170 W Main St, East Islip, NY 11730

Registration:
Nov 7, 2002
State ID:
2831986
Business type:
Domestic Professional Service Limited Liability Company

Ambulatory Health licenses in New York


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