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

Theodore Fried Burford Welch & David Hauer MD, PC

Organization Family Medicine Physician · NPI 1639233901

Theodore Fried Burford Welch & David Hauer MD, PC provides Family Medicine Physician services in Lake Ronkonkoma, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

388 Hawkins Ave Ste 1
Lake Ronkonkoma, NY 11779-4280 Not confirmed with CMS for 16 years — call before visiting
Phone: (631) 588-8460
Fax: (631) 588-8480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1639233901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Hauer — President · (631) 588-8460
NPI enumeratedDecember 21, 2006
Last updated in NPPESDecember 7, 2009
Mailing address388 Hawkins Ave, Suite 1, Lake Ronkonkoma, NY 11779-4280

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