NORTH SHORE IMMEDIATE MEDICAL CARE P.C.
Marriage and Family Therapists at Patchogue Rd, Prt Jefferson Station, NY

License number
New York 185255
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. ANTOUN SABA MITROMARAS MD
Title: PRESIDENT
Phone: (631) 331-1100
Address
Address
509 Patchogue Rd, Prt Jefferson Station, NY 11776
National Provider ID: 1225253537
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH SHORE IMMEDIATE MEDICAL CARE, PC

509 Rte 112, Port Jefferson Station, NY 11776

Registration:
Oct 22, 1991
State ID:
1583876
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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