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1992900583
THE MED STATION PC
GLEN COVE, NY
NPI
1992900583
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Entity Type
Organization
Authorized Contact
RUSSELL H SAMUEL
Owner
516-759-5406
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-06-15
Last Update Date
2008-05-07
Business Address
THE MED STATION PC
104 FOREST AVE
GLEN COVE, NY 11542-2015
Phone number: 516-759-5406
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Mailing Address
THE MED STATION PC
104 FOREST AVE
GLEN COVE, NY 11542-2015
Phone number: 516-759-5406
Copy
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