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Organization
SG MEDICAL PROFESSIONAL PC
Active
Organization
SG MEDICAL PROFESSIONAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOV HOLLANDER (DIRECTOR OF OPERATIONS)
(631) 759-9920
Entity
Organization
Contact information
Practice address
260 CHRISTOPHER LN STE 102A, STATEN ISLAND, NY 10314-1631
(718) 362-1405
(718) 414-1651
Mailing address
45 S ROUTE 9W UNIT 41 #114, WEST HAVERSTRAW, NY 10993-1053
(631) 759-9920
(315) 612-9793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
05/30/2025
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