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Organization
IMMUNIZATION MEDICAL SERVICES PC
Active
Organization
IMMUNIZATION MEDICAL SERVICES PC
Active
Other names
Flu Busters
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY JOHN SAYEGH M.D., FACP (MEDICAL DIRECTOR)
(914) 376-7000
Entity
Organization
Contact information
Practice address
909 MIDLAND AVE, YONKERS, NY 10704-1092
(770) 512-8566
(770) 512-8558
Mailing address
235 HEMBREE PARK DR, SUITE 300, ROSWELL, GA 30076-5738
(770) 512-8566
(770) 512-8558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
227084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02458313
—
NY
Enumeration date
09/29/2010
Last updated
10/01/2010
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