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Organization
SI MEDICAL PC
Active
Organization
SI MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARA TARANTUL (ADMINISTRATOR)
(718) 769-4100
Entity
Organization
Contact information
Practice address
2651 E 14TH ST, BROOKLYN, NY 11235-3915
(718) 769-4100
(718) 769-4105
Mailing address
2651 E 14TH ST, BROOKLYN, NY 11235-3915
(718) 769-4100
(718) 769-4105
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
220812
NY
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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