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1861561441
S. ADIMOOLAM, PHYSICIAN, PC
STATEN ISLAND, NY
NPI
1861561441
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Entity Type
Organization
Authorized Contact
DEBRA PRUCHA
Office Manager
718-494-4934
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY nys121313)
Enumeration Date
2006-11-07
Last Update Date
2008-08-18
Business Address
S. ADIMOOLAM, PHYSICIAN, PC
1756 RICHMOND AVE
STATEN ISLAND, NY 10314-3902
Phone number: 718-494-3383
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Mailing Address
S. ADIMOOLAM, PHYSICIAN, PC
1756 RICHMOND AVE
STATEN ISLAND, NY 10314-3902
Phone number: 718-494-3383
Copy
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