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Organization
AFFINITY MEDICAL PC
Active
Organization
AFFINITY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA DOMNICH MD (OWNER)
(718) 758-4100
Entity
Organization
Contact information
Practice address
8635 21ST AVE, 1A, BROOKLYN, NY 11214-4049
(718) 758-4100
Mailing address
8635 21ST AVE, 1A, BROOKLYN, NY 11214-4049
(718) 758-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
217873
NY
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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