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Organization
MEDICAL SERVICES OF BELLMORE PC
Active
Organization
MEDICAL SERVICES OF BELLMORE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-4400
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-4400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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