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1124647052
MAHDEY TALLAT
STATEN ISLAND, NY
NPI
1124647052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 328416-01)
Enumeration Date
2020-04-10
Last Update Date
2024-10-04
Business Address
MAHDEY TALLAT DO
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
MAHDEY TALLAT DO
363 BEDFORD AVE
STATEN ISLAND, NY 10306-5127
Phone number: 347-791-1039
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