55 Sandalwood Enterprises Inc

NPI 1083691539 - Specialist - 174400000X

NPI Details
NPI 1083691539
Enumeration Date 12/27/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PHYLLIS PHYLLIS
Position GENERAL MANAGER
Phone (718) 920-4333
Fax (631) 447-7939
Practice Location
3400 BAINBRIDGE AVE
GREENE MEDICAL ARTS PAVILION 3RD FLOOR
BRONX NY, 10467-2404, US
Phone (718) 920-4333
Fax (631) 447-7939
Business Location
20 MEDFORD AVE
PATCHOGUE NY, 11772-1220, US
Phone (631) 447-7938
Fax (631) 447-7939
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 15000010884
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According to our database, 55 Sandalwood Enterprises Inc NPI is 1083691539, taxonomy code is 174400000X and license number is 15000010884, license state is located at New York. 55 Sandalwood Enterprises Inc physically located at 3400 Bainbridge Ave, Bronx NY, 10467-2404. NPI Number 1033115704 has the healthcare provider type.

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1083691539 NPI number is provided on an as is basis without warranty of any kind. 1083691539 is maintained by the National Plan & Provider Enumeration System. The contents of 55 Sandalwood Enterprises Inc are for informational purposes only.