Provider Demographics
NPI:1437385663
Name:TRAVEL MEDICINE CONSULTANTS OF LONG ISLAND, PC
Entity Type:Organization
Organization Name:TRAVEL MEDICINE CONSULTANTS OF LONG ISLAND, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIEFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-767-7771
Mailing Address - Street 1:44 S BAYLES AVE
Mailing Address - Street 2:SUITE 216
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3765
Mailing Address - Country:US
Mailing Address - Phone:516-767-7771
Mailing Address - Fax:516-767-7765
Practice Address - Street 1:44 S BAYLES AVE
Practice Address - Street 2:SUITE 216
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3765
Practice Address - Country:US
Practice Address - Phone:516-767-7771
Practice Address - Fax:516-767-7765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty