Urantia Medical Pc

NPI 1679847008 - Specialist - 174400000X

NPI Details
NPI 1679847008
Enumeration Date 03/02/2012
Last Updated 03/23/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MODESTO MODESTO
Position PRINCIPAL
Phone (516) 365-4040
Fax
Practice Location
1295 NORTHERN BLVD
SUITE 20
MANHASSET NY, 11030-3035, US
Phone (516) 365-4040
Fax
Business Location
1295 NORTHERN BLVD
MANHASSET NY, 11030-3035, US
Phone (516) 365-4040
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Urantia Medical Pc NPI is 1679847008, taxonomy code is 174400000X Urantia Medical Pc physically located at 1295 Northern Blvd, Manhasset NY, 11030-3035. NPI Number 1033115704 has the healthcare provider type.

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1679847008 NPI number is provided on an as is basis without warranty of any kind. 1679847008 is maintained by the National Plan & Provider Enumeration System. The contents of Urantia Medical Pc are for informational purposes only.