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1942631270
GREAT NECK MEDICINE PC
GREAT NECK, NY
NPI
1942631270
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Entity Type
Organization
Authorized Contact
RUSSELL SURASKY
President
516-487-1902
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 260969)
Enumeration Date
2013-12-12
Last Update Date
2013-12-12
Business Address
GREAT NECK MEDICINE PC
290 COMMUNITY DR
GREAT NECK, NY 11021-5504
Phone number: 516-487-1902
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Mailing Address
GREAT NECK MEDICINE PC
290 COMMUNITY DR
GREAT NECK, NY 11021-5504
Phone number:
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