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Organization
TOTAL MEDICINE 365, P.C.
Active
Organization
TOTAL MEDICINE 365, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSTISLAV TABAK (MD)
(347) 575-7180
Entity
Organization
Contact information
Practice address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
(516) 705-2525
Mailing address
27 MAGNOLIA LN, ROSLYN HEIGHTS, NY 11577-1507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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