Village Internal Medicine Group

LBN: Village Internal Medicine Group
Village Internal Medicine Group is an health care organization with primary practice located at 710 Main Street , Port Jefferson NY 11777. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Village Internal Medicine Group can be contacted via phone (631) 474-4000, or through Dibenedetto, Mark J. via phone (631) 474-4000.

Contact Information

Primary practice address
710 Main Street Port Jefferson NY 11777
Phone: (631) 474-4000
Fax: (631) 474-4011
Website:
Map and Directions
Authorized official contact:
Name: Dibenedetto, Mark J. Doctor of Medicine (MD)
Phone: (631) 474-4000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 172308 New York

Profile Details

NPI number 1003889023
LBN Legal business name Village Internal Medicine Group
DBA Doing business as
Authorized official Dibenedetto, Mark J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2006
Last updated Dec 29th, 2010 - about 14 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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