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Organization
MACHENEH MEDICAL
Active
Organization
MACHENEH MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZAR FRUCHTER (SOLE PROPRIETOR)
(917) 430-0280
Entity
Organization
Contact information
Practice address
641 KNICKERBOCKER RD, LIVINGSTON, NY 12758
(917) 430-0280
Mailing address
1478 E 15TH ST, BROOKLYN, NY 11230-6602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
123563
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00974314
—
NY
Enumeration date
12/06/2006
Last updated
08/22/2020
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