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Organization
OCEAN MEDICAL PLUS PC
Active
Organization
OCEAN MEDICAL PLUS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VADIM SURIKOV M.D. (OWNER)
(212) 722-7800
Entity
Organization
Contact information
Practice address
315 E 105TH ST, SUITE 104, NEW YORK, NY 10029-5000
(212) 722-7800
Mailing address
315 E 105TH ST, SUITE 104, NEW YORK, NY 10029-5000
(212) 722-7800
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
208907
NY
Other
Enumeration date
05/15/2012
Last updated
10/23/2012
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