Valley Stream Medical Pc

NPI 1801954680 - Legal Medicine - 173000000X

NPI Details
NPI 1801954680
Enumeration Date 12/05/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MORONKEJI MORONKEJI
Position DIRECTOR OFFICER
Phone (516) 285-5683
Fax
Practice Location
3 ALBERT CT
VALLEY STREAM NY, 11580-4944, US
Phone (516) 285-5683
Fax
Business Location
3 ALBERT CT
VALLEY STREAM NY, 11580-4944, US
Phone (516) 285-5683
Fax
Toxanomy
Taxonomy Code 173000000X
License State New York
License Number 207287
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According to our database, Valley Stream Medical Pc NPI is 1801954680, taxonomy code is 173000000X and license number is 207287, license state is located at New York. Valley Stream Medical Pc physically located at 3 Albert Ct, Valley Stream NY, 11580-4944. NPI Number 1033115704 has the healthcare provider type.

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1801954680 NPI number is provided on an as is basis without warranty of any kind. 1801954680 is maintained by the National Plan & Provider Enumeration System. The contents of Valley Stream Medical Pc are for informational purposes only.