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1740290279
LEACROFT GREEN
BROOKLYN, NY
NPI
1740290279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NY 195521)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
-- LEACROFT GREEN MD
1545 ATLANTIC AVE
BROOKLYN, NY 11213-1122
Phone number: 800-376-5566
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Mailing Address
-- LEACROFT GREEN MD
PO BOX 29889
NEW YORK, NY 10087-9889
Phone number: 800-376-5566
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