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Organization
HILLSIDE MEDICAL ASSOC., P.C.
Active
Organization
HILLSIDE MEDICAL ASSOC., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E MIRKINSON MD. (VICE PRESIDENT)
(516) 437-9660
Entity
Organization
Contact information
Practice address
915 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2529
(516) 437-9660
(516) 328-9355
Mailing address
915 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2529
(516) 437-9660
(516) 328-9355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
181084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501240
GROUP HEALTH INC.
NY
Enumeration date
08/31/2006
Last updated
03/20/2008
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