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1245298108
ANGEL G PREMKUMAR
FLUSHING, NY
NPI
1245298108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: NY 219739)
Enumeration Date
2006-05-02
Last Update Date
2013-02-01
Business Address
ANGEL G PREMKUMAR MD
4500 PARSONS BLVD
FLUSHING, NY 11355
Phone number: 718-670-5447
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Mailing Address
ANGEL G PREMKUMAR MD
80 MARCUS DR PROVIDER ENROLLMENT
MELVILLE, NY 11747-4230
Phone number: 631-391-7887
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