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Organization
NANUET MEDICAL PROFESSIONALS, LLC
Active
Organization
NANUET MEDICAL PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH THOMAS INGRASSIA MD (PHYSICIAN/OWNER)
(845) 623-2456
Entity
Organization
Contact information
Practice address
36 COLLEGE AVE, NANUET, NY 10954-3093
(845) 623-2456
(845) 623-6420
Mailing address
36 COLLEGE AVE, NANUET, NY 10954-3093
(845) 623-2456
(845) 623-6420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
128583
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00410206
—
NY
Enumeration date
10/03/2007
Last updated
10/03/2007
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