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Organization
OPTIMUM MEDICAL NY PC
Active
Organization
OPTIMUM MEDICAL NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA FUKSINA M.D. (PRESIDENT)
(917) 295-3617
Entity
Organization
Contact information
Practice address
317 EASTWOOD RD, WOODMERE, NY 11598-1635
(917) 295-3617
Mailing address
317 EASTWOOD RD, WOODMERE, NY 11598-1635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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