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Organization
TRI-STATE PREMIER MEDICAL MSO, LLC
Active
Organization
TRI-STATE PREMIER MEDICAL MSO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS PRICE (TREASURER)
(718) 422-8055
Entity
Organization
Contact information
Practice address
233 NOSTRAND AVE, PREFERRED HEALTH PARTNERS, BROOKLYN, NY 11205-4924
(718) 564-2074
Mailing address
499 WASHINGTON BLVD FL 14, C/- MANHATTAN'S PHYSICIAN GROUP, JERSEY CITY, NJ 07310-2010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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