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931 HALLOCK AVE PORT JEFFERSON STATION NY 117761228
ARABA QUANSAH is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1285622159. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6204874019. The primary specialty is ANESTHESIOLOGY. The organization is TRI STATE MEDICAL ASSOCIATES PC. The address is 931 HALLOCK AVE, , PORT JEFFERSON STATION, NY, 117761228. The zip code is 117761228.
|Nation Provider ID||1285622159|
|PAC ID by PECOS||6204874019|
|Professional Enrollment ID||I20110105000050|
|Medical School Name||UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE|
|All secondary specialties|
|Organization Name||TRI STATE MEDICAL ASSOCIATES PC|
|Group Practice PAC ID||3375696180|
|Number of Group Practice members||2|
|Address||931 HALLOCK AVE, , PORT JEFFERSON STATION, NY, 117761228|
|Hospital affiliation LBN|