Provider Demographics
NPI:1366711830
Name:HAMPTON MEDICAL CARE LLC
Entity type:Organization
Organization Name:HAMPTON MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D./OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MECIKO
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUHAREMOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-728-4700
Mailing Address - Street 1:145 W MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:HAMPTON BAYS
Mailing Address - State:NY
Mailing Address - Zip Code:11946-2309
Mailing Address - Country:US
Mailing Address - Phone:631-728-4700
Mailing Address - Fax:631-723-4534
Practice Address - Street 1:145 W MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:HAMPTON BAYS
Practice Address - State:NY
Practice Address - Zip Code:11946-2309
Practice Address - Country:US
Practice Address - Phone:631-728-4700
Practice Address - Fax:631-723-4534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189801174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty