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1760672620
SILVER LAKE MEDICAL PLLC
STATEN ISLAND, NY
NPI
1760672620
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Entity Type
Organization
Authorized Contact
KENNETH PICKOVER
Member
718-556-3900
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 164175)
Enumeration Date
2007-07-26
Last Update Date
2007-07-27
Business Address
SILVER LAKE MEDICAL PLLC
59 REVERE ST SUITE A
STATEN ISLAND, NY 10301-3415
Phone number: 718-556-3900
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Mailing Address
SILVER LAKE MEDICAL PLLC
59 REVERE ST SUITE A
STATEN ISLAND, NY 10301-3415
Phone number: 718-556-3900
Copy
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