THE MED STATION PC

GLEN COVE, NY
NPI1992900583
Entity TypeOrganization
Authorized ContactRUSSELL H SAMUEL
Owner
516-759-5406
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2007-06-15
Last Update Date2008-05-07
Business Address
THE MED STATION PC
104 FOREST AVE
GLEN COVE, NY 11542-2015
Phone number: 516-759-5406
Mailing Address
THE MED STATION PC
104 FOREST AVE
GLEN COVE, NY 11542-2015
Phone number: 516-759-5406
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