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1740580406
NORMAN MICKENBERG
JAMAICA, NY
NPI
1740580406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
173000000X Legal Medicine
(Licence: NY 90036)
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
Dr. NORMAN MICKENBERG M.D.
18162 TUDOR RD
JAMAICA, NY 11432-1447
Phone number: 718-380-0939
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Mailing Address
Dr. NORMAN MICKENBERG M.D.
18162 TUDOR RD
JAMAICA, NY 11432-1447
Phone number: 718-380-0939
Copy
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