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General NPI Number Information
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NPI Number | 1134100316
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Entity Type | Organization
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Legal Business Name | ROCKY POINT MEDICAL CARE, P.C.
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 01/22/2010
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Provider Practice Location Address
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Address Line | 575 ROUTE 25A
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City | ROCKY POINT
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State | NY
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Zip | 11778-8886
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Country | US
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Telephone | 631-821-9000
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Fax | 631-821-9114
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Provider Business Mailing Address
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Address Line | 575 ROUTE 25A
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City | ROCKY POINT
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State | NY
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Zip | 11778-8886
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Country | US
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Telephone | 631-821-9000
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Fax | 631-821-9114
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Authorized Official
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Title or Position | CO MANAGER
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Name | DEBRA SUNDBERG
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Credential |
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Telephone | 631-821-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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