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Organization
NASSAU MEDICAL HOME VISITS P.C.
Active
Organization
NASSAU MEDICAL HOME VISITS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRIGORIY KRICHMAR (OWNER)
(631) 271-9151
Entity
Organization
Contact information
Practice address
60 QUEENS ST, SUITE 100, SYOSSET, NY 11791-3058
(631) 271-9151
Mailing address
60 QUEENS ST, SUITE 100, SYOSSET, NY 11791-3058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/16/2016
Last updated
06/25/2016
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