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1760714349
TD ADVANCED MEDICAL PC
QUEENS VILLAGE, NY
NPI
1760714349
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Entity Type
Organization
Authorized Contact
LESLIE THEODORE
President
718-740-4984
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2010-02-05
Last Update Date
2010-02-05
Business Address
TD ADVANCED MEDICAL PC
11054 SPRINGFIELD BLVD
QUEENS VILLAGE, NY 11429-2521
Phone number: 718-740-4984
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Mailing Address
TD ADVANCED MEDICAL PC
683 HALF HOLLOW RD
DIX HILLS, NY 11746-6232
Phone number:
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