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1164935276
300 OLD COUNTRY ROAD MEDICAL PLLC
MINEOLA, NY
NPI
1164935276
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Entity Type
Organization
Authorized Contact
LAWRENCE TYDINGS
Medical Director
516-702-4924
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
Enumeration Date
2017-11-10
Last Update Date
2017-11-10
Business Address
300 OLD COUNTRY ROAD MEDICAL PLLC
300 OLD COUNTRY RD STE 201
MINEOLA, NY 11501-4199
Phone number: 516-702-4924
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Mailing Address
300 OLD COUNTRY ROAD MEDICAL PLLC
1231 MOORES HILL RD
SYOSSET, NY 11791-9631
Phone number:
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