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1235336561
NEW DORP MEDICAL PC
STATEN ISLAND, NY
NPI
1235336561
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Entity Type
Organization
Authorized Contact
AHMED A ELSOURY
Sole Owner
718-987-8600
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-06-29
Last Update Date
2011-02-04
Business Address
NEW DORP MEDICAL PC
4247 RICHMOND AVE
STATEN ISLAND, NY 10312-6220
Phone number: 718-605-4000
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Mailing Address
NEW DORP MEDICAL PC
4247 RICHMOND AVE
STATEN ISLAND, NY 10312-6220
Phone number: 718-605-4000
Copy
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