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Organization
TWILIGHT MEDICAL CLINICAL SERVICES PC
Active
Organization
TWILIGHT MEDICAL CLINICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GIANOUKAKIS M.D. (OFFICER)
(848) 702-3050
Entity
Organization
Contact information
Practice address
64 NAGLE AVE, NEW YORK, NY 10040-1406
(212) 544-8800
(212) 544-0808
Mailing address
16 ZIEGERT ST, SOUTH RIVER, NJ 08882-1160
(732) 613-0152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216791
NY
Other
Enumeration date
11/20/2006
Last updated
03/07/2008
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