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Organization
ADVANCED MEDICAL OF GRAND CENTRAL PC
Active
Organization
ADVANCED MEDICAL OF GRAND CENTRAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA MASHENSKY MD (OWNER)
(347) 401-8476
Entity
Organization
Contact information
Practice address
50 E 42ND ST, STE 200, NEW YORK, NY 10017-5405
(212) 867-0405
(212) 867-0409
Mailing address
1003 HAMPTON AVE, BROOKLYN, NY 11235-3013
(347) 401-8476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2007
Last updated
08/11/2008
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