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1235131764
LUCILLE PATRICIA TAVERNA
OCEANSIDE, NY
NPI
1235131764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY 1124741)
Enumeration Date
2005-08-15
Last Update Date
2010-03-25
Business Address
Mrs. LUCILLE PATRICIA TAVERNA MD
185 MERRICK RD RADIOLOGICAL ASSOCIATES OF LONG ISLAND PC
OCEANSIDE, NY 11572-1431
Phone number: 516-766-6550
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Mailing Address
Mrs. LUCILLE PATRICIA TAVERNA MD
185 MERRICK RD
OCEANSIDE, NY 11572-1431
Phone number: 516-766-6550
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