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Organization
REVV MEDICAL DIAGNOSTIC PC
Active
Organization
REVV MEDICAL DIAGNOSTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE S MARCUS MD (OWNER)
(516) 872-7001
Entity
Organization
Contact information
Practice address
201 PORTION RD, SUITE B, RONKONKOMA, NY 11779-4172
(516) 872-7001
(516) 872-7015
Mailing address
201 PORTION RD, SUITE B, RONKONKOMA, NY 11779-4172
(516) 872-7001
(516) 872-7015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/05/2010
Last updated
02/17/2011
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