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Organization
M&M MEDICAL PC
Active
Organization
M&M MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR OSIPOV (PRESIDENT)
(917) 921-7205
Entity
Organization
Contact information
Practice address
5548 96TH ST, CORONA, NY 11368-3009
(718) 606-1199
(718) 269-9569
Mailing address
5548 96TH ST, CORONA, NY 11368-3009
(718) 606-1199
(718) 269-9569
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/27/2009
Last updated
09/16/2009
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