Organization Name: | ONAL MEDICAL PC |
NPI Number: | 1144528233 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY A ONAL (PRESIDENT) |
Mailing Address: | 340 Montauk Hwy Suite 2 West Islip |
State: | NY US |
Postal Code: | 117954437 |
Phone Number: | 6314828824 |
Fax Number: | 6314828827 |
NPI Enumeration Date: | 03/14/2011 |
NPI Last Update Date: | 03/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 204990 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |