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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTH FORK MEDICAL ASSOCIATES PC

Active Organization

SOUTH FORK MEDICAL ASSOCIATES PC is a Registered Dietitian organization located in SOUTHAMPTON, New York. NPI 1144288077 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · SOUTHAMPTON, NY

Registration Details

NPI Number
1144288077
Provider Type
Organization
NPI Issued
May 2, 2006 (20.106571735808 yrs)
Last Updated
Sep 11, 2025

Practice Information

Address
238 OLD TOWN ROAD
SOUTHAMPTON, NY, 11968
Browse NY providers · Browse ZIP 11968
Phone
6312832100
Fax
6312835731
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
General Surgery
Additional Specialty
Registered Dietitian
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.