| Organization Name: | FAMILY CARE MEDICAL CENTER |
| NPI Number: | 1598962797 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT BERNARD (M.D.P.C.) |
| Mailing Address: | 6144 Route 25a Bldg C Suite 10 Wading River |
| State: | NY US |
| Postal Code: | 117922018 |
| Phone Number: | 6319295900 |
| Fax Number: | 6319296487 |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 08/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 178451 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |