ADVANCE MEDICAL AND DIET SERVICES

STATEN ISLAND, NY
NPI1861785149
Entity TypeOrganization
Authorized ContactEUGENE MANCUSO
President
718-605-1040
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  166460)
Enumeration Date2011-05-19
Last Update Date2011-05-19
Business Address
ADVANCE MEDICAL AND DIET SERVICES
3930 RICHMOND AVE
STATEN ISLAND, NY 10312-5104
Phone number: 718-605-1040
Mailing Address
ADVANCE MEDICAL AND DIET SERVICES
3930 RICHMOND AVE
STATEN ISLAND, NY 10312-5104
Phone number:
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