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Organization
MEDICAL POLIS P.C.
Active
Organization
MEDICAL POLIS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKOLAI LAGODUKE M.D. (PRESIDENT)
(848) 203-9608
Entity
Organization
Contact information
Practice address
2639 ATLANTIC AVE, BROOKLYN, NY 11207-2407
(718) 385-1115
Mailing address
PO BOX 747896, FLUSHING, NY 11374-7896
(848) 203-9608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
233906
NY
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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