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Organization
MAIN STREET MEDICAL, PC
Active
Organization
MAIN STREET MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALMAN AUSUBEL MD (OWNER)
(631) 647-9555
Entity
Organization
Contact information
Practice address
38-40 EAST MAIN STREET, BAY SHORE, NY 11706
(631) 647-9555
(631) 647-9548
Mailing address
38-40 EAST MAIN STREET, BAY SHORE, NY 11706
(631) 647-9555
(631) 647-9548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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