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Organization · Internal Medicine Physician · Astoria, NY

NPI
1356513972
Type
Organization (Type 2)
Primary specialty
Internal Medicine Physician (Internal Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207R00000X
License number
137272 (NY)
Enumerated
2008-03-25
Last updated
2008-04-20
Practice location
3316 Broadway
Astoria, NY 11106-1806
(718) 626-6010

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