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Organization
WESTBURY FAMILY MEDICAL
Active
Organization
WESTBURY FAMILY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR Z VANEGAS MD (MEDICAL DIRECTOR)
(516) 333-9833
Entity
Organization
Contact information
Practice address
530 OLD COUNTRY RD, 2A, WESTBURY, NY 11590-4500
(516) 333-9833
(516) 333-9836
Mailing address
530 OLD COUNTRY RD, SUITE 2A, WESTBURY, NY 11590-4500
(516) 333-9833
(516) 333-9836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
190283-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02576630
—
NY
Enumeration date
10/06/2006
Last updated
05/29/2008
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