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Organization
MI MEDICAL PLLC
Active
Organization
MI MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYLES IVAN ROSENTHAL M.D. (OWNER)
(631) 737-4949
Entity
Organization
Contact information
Practice address
3279 VETERANS MEMORIAL HWY STE 5, RONKONKOMA, NY 11779-7673
(631) 737-4949
Mailing address
3279 VETERANS MEMORIAL HWY STE 5, RONKONKOMA, NY 11779-7673
(631) 737-4949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
154360
NY
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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