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Organization
MM MEDICAL SERVICE PC
Active
Organization
MM MEDICAL SERVICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRAN MANOUEL MD (MD)
(718) 897-2228
Entity
Organization
Contact information
Practice address
76-55 AUSTIN STREET, FOREST HILLS, NY 11375-6948
(718) 897-2228
Mailing address
PO BOX 230406, GREAT NECK, NY 11023-0406
(718) 897-2228
(718) 897-2251
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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