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1265409379
MANDAR G TANK
NORTHPORT, NY
NPI
1265409379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ ma061721)
Enumeration Date
2006-03-07
Last Update Date
2007-07-08
Business Address
Dr. MANDAR G TANK m.d.
79 MIDDLEVILLE RD VA MEDICAL CENTER
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
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Mailing Address
Dr. MANDAR G TANK m.d.
1 TWIXT HILL RD
SAINT JAMES, NY 11780-1622
Phone number: 631-361-3515
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