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1821872144
LIFE CARE MEDICAL NY PC
RIVERHEAD, NY
NPI
1821872144
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Entity Type
Organization
Authorized Contact
SIMON FENSTERSZAUB
President
631-208-4460
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
LIFE CARE MEDICAL NY PC
170 OLD COUNTRY RD
RIVERHEAD, NY 11901-2198
Phone number: 631-208-4460
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Mailing Address
LIFE CARE MEDICAL NY PC
170 OLD COUNTRY RD
RIVERHEAD, NY 11901-2198
Phone number: 631-208-4460
Copy
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