SOUTH COAST PHYSICAL MEDICINE PC
Medical Practice at Brentwood Rd, Pine Air, NY

License number
New York 213808-1
Category
Medical Practice
Type
Pain Medicine
Owner
Name: MIGUEL VARGAS MD
Title: PRESIDENT
Phone: (631) 979-8508
Address
Address 2
1799 Brentwood Rd, Pine Air, NY 11717
1 Edgewood Ave SUITE 100, Smithtown, NY 11787
National Provider ID: 1881961944
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTH COAST PHYSICAL MEDICINE, PC

1 Edgewood Ave STE 100, Smithtown, NY 11787

Registration:
Sep 2, 2011
State ID:
4138217
Business type:
Domestic Professional Corporation
Miguel Vargas Md, 1801 Brentwood Rd, Brentwood, NY 11717 (Physical)

South Coast Physical Medicine, PC

1799 Brentwood Rd, Pine Air, NY 11717

Industry:
Health/Allied Services

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