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Organization
ROCKAPULCO MEDICAL ASSOC PC
Active
Organization
ROCKAPULCO MEDICAL ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYELLEN GALVIN (OFFICE MGR)
(718) 474-5027
Entity
Organization
Contact information
Practice address
12005 NEWPORT AVENUE, ROCKAWAY PARK, NY 11694
(718) 474-5027
(718) 474-4899
Mailing address
12005 NEWPORT AVENUE, ROCKAWAY PARK, NY 11694
(718) 474-5027
(718) 474-4899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
04/23/2008
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