Provider Demographics
NPI:1013521798
Name:CELESTIN MEDICAL CARE PLLC
Entity Type:Organization
Organization Name:CELESTIN MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CELESTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-940-1052
Mailing Address - Street 1:1550 DEER PARK AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-6624
Mailing Address - Country:US
Mailing Address - Phone:631-940-1052
Mailing Address - Fax:631-940-1053
Practice Address - Street 1:1550 DEER PARK AVE STE 2
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-6624
Practice Address - Country:US
Practice Address - Phone:631-940-1052
Practice Address - Fax:631-940-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty