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Organization
IK MEDICAL PC
Active
Organization
IK MEDICAL PC
Active
Other names
IK Medical PC
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE CARRARA (BILLER)
(631) 462-8783
Entity
Organization
Contact information
Practice address
8401 FORT HAMILTON PKWY, BROOKLYN, NY 11209-4805
(718) 759-0105
(718) 759-0800
Mailing address
6500 JERICHO TPKE STE 206, COMMACK, NY 11725-2907
(631) 462-8783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01849825
—
NY
Enumeration date
10/26/2021
Last updated
01/04/2022
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