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MID ISLAND INTERNAL MEDICINE, PLLC
NPI 1750577201
Legal Medicine in Ronkonkoma, NY

Active since September 19, 2007
709 HAWKINS AVE, RONKONKOMA, NY 11779(631) 588-0880(631) 588-0391 Get Directions Write a Review

NPPES record last updated: May 27, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mid Island Internal Medicine, Pllc NPPES

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

MID ISLAND INTERNAL MEDICINE, PLLC (NPI 1750577201) is a healthcare organization registered as a legal medicine in Ronkonkoma, New York and active in the NPI registry since September 2007. The organization lists Jennifer E Liotta, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750577201
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameMID ISLAND INTERNAL MEDICINE, PLLC
Location Address709 HAWKINS AVERonkonkoma, NY 11779-4243
Mailing Address709 Hawkins AveRonkonkoma, NY 11779-2293 · (631) 588-0880 · Fax (631) 588-0391
Phone(631) 588-0880
Fax(631) 588-0391
Organization SubpartNo
Authorized OfficialJennifer E LiottaOffice Manager · (631) 588-0880
Enumeration DateSeptember 19, 2007
Last NPPES UpdateMay 27, 2009
✔ NPI 1750577201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in NY · 199922
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
709 HAWKINS AVE, Ronkonkoma, NY 11779
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Other Identifiers 1

Medicare UPING49891NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANDREA E NOMBERG MD
Family Medicine
709 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 588-0880
SUGANTHI RAVINDRAN MD
Internal Medicine
709 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 588-0880

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 Mid Island Internal Medicine, PLLC's NPI number?

The NPI number for Mid Island Internal Medicine, PLLC is 1750577201. It was assigned to this organization in the NPPES registry on September 19, 2007.

Where is Mid Island Internal Medicine, PLLC located?

Mid Island Internal Medicine, PLLC is located at 709 Hawkins Ave, Ronkonkoma, NY 11779. The listed phone number is (631) 588-0880.

What is Mid Island Internal Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for Mid Island Internal Medicine, PLLC was last updated on May 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.