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1154504132
LICH FACULTY PRACTICE
BROOKLYN, NY
NPI
1154504132
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Entity Type
Organization
Authorized Contact
DEBORAH HACKETT
Assistant Vice President
212-256-3424
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-12-12
Last Update Date
2008-04-07
Business Address
LICH FACULTY PRACTICE
339 HICKS ST
BROOKLYN, NY 11201-5509
Phone number: 718-780-1000
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Mailing Address
LICH FACULTY PRACTICE
160 WATER ST 20TH FLOOR
NEW YORK, NY 10038-4922
Phone number: 212-256-3424
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