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1497740781
MICHELLE CECELIA JARDINE
STONY BROOK, NY
NPI
1497740781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: NY 207582)
Enumeration Date
2005-09-13
Last Update Date
2011-01-11
Business Address
Dr. MICHELLE CECELIA JARDINE MD
213 HALLOCK RD SUITE 6
STONY BROOK, NY 11790-3000
Phone number: 631-941-1000
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Mailing Address
Dr. MICHELLE CECELIA JARDINE MD
421 DEER PARK AVE
BABYLON, NY 11702-2313
Phone number: 631-941-1000
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