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1619039815
CLOVE LAKES ENT PC
STATEN ISLAND, NY
NPI
1619039815
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Entity Type
Organization
Authorized Contact
HELEN HYOSUN KIM
Owner
917-596-7063
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2006-12-14
Last Update Date
2021-02-25
Business Address
CLOVE LAKES ENT PC
1414 VICTORY BLVD
STATEN ISLAND, NY 10301
Phone number: 718-447-1261
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Mailing Address
CLOVE LAKES ENT PC
1414 VICTORY BLVD
STATEN ISLAND, NY 10301
Phone number: 718-447-1261
Copy
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