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1528218294
ACTIVE MEDICAL DIAGNOSTICS PC
WEST BABYLON, NY
NPI
1528218294
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Entity Type
Organization
Authorized Contact
TIMOTHY J MOSOMILLO
Medical Director
631-661-6611
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center Health Service
Enumeration Date
2008-09-30
Last Update Date
2008-09-30
Business Address
ACTIVE MEDICAL DIAGNOSTICS PC
422C GREAT EAST NECK ROAD
WEST BABYLON, NY 11704
Phone number: 631-661-6611
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Mailing Address
ACTIVE MEDICAL DIAGNOSTICS PC
422C GREAT EAST NECK ROAD
WEST BABYLON, NY 11704
Phone number: 631-661-6611
Copy
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