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Organization · Internal Medicine Physician · Astoria, NY

NPI

1710321070

Type

Organization (Type 2)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

234166-1 (NY)

Enumerated

2013-04-17

Last updated

2013-04-17