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1942396247
SOUTHEAST MEDICAL
BREWSTER, NY
NPI
1942396247
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Entity Type
Organization
Authorized Contact
NILO HERRERA
President
845-278-9137
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 158219)
Enumeration Date
2006-10-05
Last Update Date
2008-06-05
Business Address
SOUTHEAST MEDICAL
1663 ROUTE 22
BREWSTER, NY 10509-4048
Phone number: 845-278-6625
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Mailing Address
SOUTHEAST MEDICAL
1663 ROUTE 22
BREWSTER, NY 10509-4048
Phone number: 845-278-6625
Copy
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