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1538161005
ALEXANDER GORBATSEVICH
PORT JEFFERSON, NY
NPI
1538161005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 240964)
Enumeration Date
2005-08-12
Last Update Date
2007-08-29
Business Address
-- ALEXANDER GORBATSEVICH M.D.
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
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Mailing Address
-- ALEXANDER GORBATSEVICH M.D.
625 BELLE TERRE RD SUITE 100
PORT JEFFERSON, NY 11777-2316
Phone number: 631-473-1320
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