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1902800741
ROGER SANTIAGO LAO
GREAT NECK, NY
NPI
1902800741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 207700)
Enumeration Date
2005-06-09
Last Update Date
2010-03-11
Business Address
-- ROGER SANTIAGO LAO M.D.
560 NORTHERN BLVD STE 102
GREAT NECK, NY 11021-5100
Phone number: 516-504-1600
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Mailing Address
-- ROGER SANTIAGO LAO M.D.
560 NORTHERN BLVD SUITE 102
GREAT NECK, NY 11021-5100
Phone number: 516-504-1600
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