Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

East End Geriatric & Adult Medicine PLLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1851367304

East End Geriatric & Adult Medicine PLLC provides Geriatric Medicine (Internal Medicine) Physician services in Southold, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

50 Ackerly Pond Ln
Southold, NY 11971-3005 Not confirmed with CMS for 14 years — call before visiting
Phone: (631) 765-1414
Fax: (631) 765-1428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 23013867 (NY)
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1851367304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Slotkin — President · (631) 765-1414
Other names Professional Limited Liability Corp.
NPI enumeratedFebruary 24, 2006
Last updated in NPPESJuly 3, 2012
Mailing addressPo Box 1437, Southold, NY 11971-0938

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