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Organization
MEDREDEFINED LLC
Active
Organization
MEDREDEFINED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANILA JINDAL MD (OWNER)
(832) 768-0726
Entity
Organization
Contact information
Practice address
345 WATERSIDE RD, NORTHPORT, NY 11768-1237
(631) 857-4439
Mailing address
240 MAIN ST UNIT 225, NORTHPORT, NY 11768-5010
(832) 768-0726
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
04/10/2024
Last updated
05/03/2024
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