ProviderBusinessMailingAddressFaxNumber = '6317284564'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1770531220
PRIME CARE MEDICAL OF LONG ISLAND, PC
240 W MONTAUK HWY
HAMPTON BAYS
NY
119463510
1891984548
EATON
KENNWORTH
240 W MONTAUK HWY
HAMPTON BAYS
NY
119463510
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