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Organization

NORTH SHORE MEDICAL ASSCOAITES,PC

Active
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Organization

NORTH SHORE MEDICAL ASSCOAITES,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL JOHN MELGAR M.D. (OWNER)
(516) 829-2016
Entity
Organization

Contact information

Practice address
107 NORTHERN BLVD STE 206, GREAT NECK, NY 11021-4309
(516) 829-2016
(877) 991-9340
Mailing address
107 NORTHERN BLVD STE 206, GREAT NECK, NY 11021-4309
(516) 829-2016
(877) 991-9340

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
178298
NY

Other

Enumeration date
02/25/2014
Last updated
02/25/2014
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