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Organization
SF OHIO MEDICAL SERVICES CORP
Active
Organization
SF OHIO MEDICAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON FENSTERSZAUB MD (OWNER)
(718) 362-1411
Entity
Organization
Contact information
Practice address
1390 KING TREE DR, DAYTON, OH 45405-1401
(718) 280-5436
(718) 362-1651
Mailing address
228 E ROUTE 59 # 408, NANUET, NY 10954-2905
(718) 362-1411
(718) 414-1651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
03/18/2019
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