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EAST END PHYSICIAN SERVICES PC
NPI 1407191364
Internal Medicine in Southold, NY

Active since December 04, 2012
44210 COUNTY RD. 48, SOUTHOLD, NY 11971(631) 765-4150(631) 765-4688 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East End Physician Services Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST END PHYSICIAN SERVICES PC (NPI 1407191364) is a healthcare organization registered as an internal medicine in Southold, New York and active in the NPI registry since December 2012. The organization lists Lloyd Douglas Simon, President (corporation), as its authorized official.

NPPES Registry Identity

NPI1407191364
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEAST END PHYSICIAN SERVICES PC
Location Address44210 COUNTY RD. 48Southold, NY 11971
Mailing AddressP.o. Box 1341Southold, NY 11971 · (631) 765-4150 · Fax (631) 765-4688
Phone(631) 765-4150
Fax(631) 765-4688
Organization SubpartNo
Authorized OfficialLloyd Douglas SimonPresident (corporation) · (631) 765-4150
Enumeration DateDecember 4, 2012
Last NPPES UpdateJune 14, 2017
✔ NPI 1407191364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 153210-1
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 153210-1 (NY)
44210 COUNTY RD. 48, Southold, NY 11971
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Other Identifiers 1

Medicare PINA100084348NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East End Physician Services PC's NPI number?

The NPI number for East End Physician Services PC is 1407191364. It was assigned to this organization in the NPPES registry on December 4, 2012.

Where is East End Physician Services PC located?

East End Physician Services PC is located at 44210 County Rd. 48, Southold, NY 11971. The listed phone number is (631) 765-4150.

What is East End Physician Services PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for East End Physician Services PC was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.