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1396012324
63 ST MEDICAL HEATHCARE PC
WOODSIDE, NY
NPI
1396012324
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Entity Type
Organization
Authorized Contact
DAN ACARU
President
718-205-2992
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: NY 141555)
Enumeration Date
2011-11-18
Last Update Date
2011-11-18
Business Address
63 ST MEDICAL HEATHCARE PC
3939 63RD ST # 1A
WOODSIDE, NY 11377-3648
Phone number: 718-205-2992
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Mailing Address
63 ST MEDICAL HEATHCARE PC
3939 63RD ST # 1A
WOODSIDE, NY 11377-3648
Phone number: 718-205-2992
Copy
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