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1790390292
OMARI CHUBINIDZE MEDICAL PC
HICKSVILLE, NY
NPI
1790390292
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Entity Type
Organization
Authorized Contact
OMARI CHUBINIDZE
Owner
502-836-4318
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
OMARI CHUBINIDZE MEDICAL PC
100 NEWBRIDGE RD STE 6
HICKSVILLE, NY 11801-3948
Phone number: 516-882-7473
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Mailing Address
OMARI CHUBINIDZE MEDICAL PC
100 NEWBRIDGE RD STE 6
HICKSVILLE, NY 11801-3948
Phone number: 516-882-7473
Copy
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