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Organization
MEDICAL ROVER NY PLLC
Active
Organization
MEDICAL ROVER NY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL MCKENNA (DIRECTOR OF OPERATIONS)
(718) 362-8184
Entity
Organization
Contact information
Practice address
573 LARKFIELD RD, EAST NORTHPORT, NY 11731-4203
(718) 362-8184
(718) 414-1651
Mailing address
228 E ROUTE 59 # 400, NANUET, NY 10954-2905
(718) 362-8184
(718) 362-1651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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