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

CUSTOM TRT US INC

Active Organization

CUSTOM TRT US INC is a Medical Specialty Clinic organization located in PORT JEFFERSON STATION, New York. NPI 1528883725 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · PORT JEFFERSON STATION, NY

Registration Details

NPI Number
1528883725
Provider Type
Organization
NPI Issued
Nov 21, 2024 (1.7745296714477 yrs)
Last Updated
Nov 21, 2024

Practice Information

Address
69 CLYMER STREET
PORT JEFFERSON STATION, NY, 11776
Browse NY providers · Browse ZIP 11776
Phone
6312601945
Fax
6314031298
Primary Specialty
Medical Specialty Clinic
261QM2500X

Other Medical Specialty Clinic Organizations in PORT JEFFERSON STATION, NY

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.