Provider Demographics
NPI:1588753628
Name:BEST, HENRY J IV (DO)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:J
Last Name:BEST
Suffix:IV
Gender:M
Credentials:DO
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Mailing Address - Street 1:640 BELLE TERRE RD
Mailing Address - Street 2:BLDG F
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-1936
Mailing Address - Country:US
Mailing Address - Phone:631-928-6900
Mailing Address - Fax:631-928-6979
Practice Address - Street 1:640 BELLE TERRE RD
Practice Address - Street 2:BLDG F
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-1936
Practice Address - Country:US
Practice Address - Phone:631-928-6900
Practice Address - Fax:631-928-6979
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2008-04-11
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Provider Licenses
StateLicense IDTaxonomies
NY187792207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
187792A10OtherHEALTHFIRST
203505940OtherUNITED HEALTHCARE
HB05570A10OtherBLUE CROSS BLUE SHIELD
203505940OtherCIGNA
P2539381OtherOXFORD INSURANCE
96217OtherVYTRA INSURANCE
203505940OtherEMPIRE PLAN
5917034OtherAETNA INSURANCE
96217OtherVYTRA INSURANCE
HB05570A10OtherBLUE CROSS BLUE SHIELD