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Organization
MARINA PODVAL MEDICAL PC
Active
Organization
MARINA PODVAL MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA PODVAL (MD)
(718) 232-9191
Entity
Organization
Contact information
Practice address
4332 KISSENA BLVD APT LA, FLUSHING, NY 11355-2944
(718) 454-4356
Mailing address
4332 KISSENA BLVD APT LA, FLUSHING, NY 11355-2944
(718) 939-4509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
04/09/2012
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