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Organization
HERCULES MEDICAL PC
Active
Organization
HERCULES MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA MAMAEVA MD (MEDICAL DIRECTOR)
(212) 348-5100
Entity
Organization
Contact information
Practice address
177 EAST 87TH ST, STE 406, NEW YORK, NY 10128-2226
(212) 348-5100
(212) 410-3507
Mailing address
177 EAST 87TH ST, STE 406, NEW YORK, NY 10128-2226
(212) 348-5100
(212) 410-3507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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