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1801193875
LDT MEDICAL,PC
ROSEDALE, NY
NPI
1801193875
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Entity Type
Organization
Authorized Contact
LESLIE D THEODORE
Director
631-960-2544
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: NY 185234)
Enumeration Date
2011-02-27
Last Update Date
2011-02-27
Business Address
LDT MEDICAL,PC
1 CROSS ISLAND PLZ
ROSEDALE, NY 11422-1465
Phone number: 718-525-9800
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Mailing Address
LDT MEDICAL,PC
1 CROSS ISLAND PLZ
ROSEDALE, NY 11422-1465
Phone number: 718-525-9800
Copy
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