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1407964695
JUSTIN ZACK
RIVERHEAD, NY
NPI
1407964695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: NY 209465)
Enumeration Date
2006-08-28
Last Update Date
2008-05-16
Business Address
-- JUSTIN ZACK MD
1333 ROANOKE AVE
RIVERHEAD, NY 11901
Phone number: 631-727-2755
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Mailing Address
-- JUSTIN ZACK MD
1333 ROANOKE AVE
RIVERHEAD, NY 11901
Phone number: 631-727-2755
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