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1407127525
KC MEDICAL CONCEPT, LLC
PORT JEFFERSON STATION, NY
NPI
1407127525
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Entity Type
Organization
Authorized Contact
KAREN MOURTZIKOS
Director
631-509-4774
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2012-01-20
Last Update Date
2013-04-23
Business Address
KC MEDICAL CONCEPT, LLC
102B ROUTE 112
PORT JEFFERSON STATION, NY 11776-1018
Phone number: 631-509-4774
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Mailing Address
KC MEDICAL CONCEPT, LLC
102B ROUTE 112
PORT JEFFERSON STATION, NY 11776-1018
Phone number: 631-509-4774
Copy
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