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1225099625
EUGENIO S. CRISOSTOMO
RIVERHEAD, NY
NPI
1225099625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 179847)
Enumeration Date
2006-03-28
Last Update Date
2008-12-01
Business Address
Dr. EUGENIO S. CRISOSTOMO M.D.
976 ROANOKE AVENUE
RIVERHEAD, NY 11901
Phone number: 631-591-2288
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Mailing Address
Dr. EUGENIO S. CRISOSTOMO M.D.
976 ROANOKE AVENUE
RIVERHEAD, NY 11901
Phone number: 631-591-2288
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