210 MINEOLA MEDICAL PC

MINEOLA, NY
NPI1821566969
Entity TypeOrganization
Authorized ContactIRENA MUSHEEV
Credentialing COO Rdinator
516-612-9837
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2018-11-07
Last Update Date2018-11-07
Business Address
210 MINEOLA MEDICAL PC
210 OLD COUNTRY RD
MINEOLA, NY 11501-4218
Phone number: 516-279-4400
Mailing Address
210 MINEOLA MEDICAL PC
211 BROADWAY STE 205
LYNBROOK, NY 11563-3290
Phone number:
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