South Fork Medical Associates Pc

LBN: South Fork Medical Associates Pc
South Fork Medical Associates Pc is an health care organization with primary practice located at 238 Old Town Road , Southampton NY 11968. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty. South Fork Medical Associates Pc can be contacted via phone (631) 283-2100, or through Israel, Michael B via phone (631) 283-2100.

Contact Information

Primary practice address
238 Old Town Road Southampton NY 11968
Phone: (631) 283-2100
Fax: (631) 283-5731
Website:
Map and Directions
Authorized official contact:
Name: Israel, Michael B Doctor of Medicine (MD)
Phone: (631) 283-2100

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1144288077
LBN Legal business name South Fork Medical Associates Pc
DBA Doing business as
Authorized official Israel, Michael B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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