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1184034183
MEDICAL STATE OF QUEENS
REGO PARK, NY
NPI
1184034183
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Entity Type
Organization
Authorized Contact
NIKOLAI LAGODUKE
Dr
718-554-1150
Organization Subpart ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: NY 233906)
Enumeration Date
2014-04-30
Last Update Date
2015-10-15
Business Address
MEDICAL STATE OF QUEENS
8544 66TH RD
REGO PARK, NY 11374-5212
Phone number: 718-565-6050
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Mailing Address
MEDICAL STATE OF QUEENS
8544 66TH RD
REGO PARK, NY 11374-5212
Phone number: 718-565-6050
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