DAMIAN FAMILY CARE CENTERS, INC.

NPI # 

Practice Address:

161 Lake Shore Rd

Lake Ronkonkoma, NY, 11779-3182

Practice Phone:

631-306-5895

Practice Fax:

718-657-1870

License Number:

7003246R

License State:

NY

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X