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Organization
SOMIDIL MEDICAL PC
Active
Organization
SOMIDIL MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE FARRELL RN CCSP (DIRECTOR CODING/COMPLIANCE)
(845) 634-6500
Entity
Organization
Contact information
Practice address
15 TWIN PONDS LN, SYOSSET, NY 11791-1004
(845) 634-6500
(845) 634-9424
Mailing address
17 SQUADRON BLVD, SUITE 400, NEW CITY, NY 10956-5214
(845) 634-6500
(845) 634-9424
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
211961
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01877614
—
NY
Enumeration date
05/07/2008
Last updated
05/07/2008
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