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1912906025
NEIL D THEISE
NEW YORK, NY
NPI
1912906025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: NY 171759)
Enumeration Date
2005-07-20
Last Update Date
2012-02-01
Business Address
-- NEIL D THEISE M.D.
10 NATHAN D PERLMAN PLACE SUITE 12S34
NEW YORK, NY 10003-3851
Phone number: 212-420-2124
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Mailing Address
-- NEIL D THEISE M.D.
1900 HEMPSTEAD TPKE SUITE 500
EAST MEADOW, NY 11554-1724
Phone number: 516-542-1090
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