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1912258757
MICHAEL DODICK
MASSAPEQUA, NY
NPI
1912258757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NY 032821-1)
Enumeration Date
2012-09-19
Last Update Date
2012-09-19
Business Address
Mr. MICHAEL DODICK DPT
913 N BROADWAY
MASSAPEQUA, NY 11758-2364
Phone number: 516-454-6387
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Mailing Address
Mr. MICHAEL DODICK DPT
913 N BROADWAY
MASSAPEQUA, NY 11758-2364
Phone number: 516-454-6387
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