Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIGHTWATERS INTERNAL MEDICINE PLLC
Active OrganizationBRIGHTWATERS INTERNAL MEDICINE PLLC is a Sports Medicine (IM) organization located in BAY SHORE, New York. NPI 1255533360 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · BAY SHORE, NY
Registration Details
- NPI Number
- 1255533360
- Provider Type
- Organization
- NPI Issued
- Jun 1, 2007 (19.248728299088 yrs)
- Last Updated
- Aug 22, 2020
- License
-
152199 (NY)
Practice Information
- Address
-
200 HOWELLS RDBAY SHORE, NY, 117065300Browse NY providers · Browse ZIP 11706
- Phone
- 6316655074
- Fax
- 6316651852
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
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.