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Organization

I.E.S. MEDICAL, PC

Active
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Organization

I.E.S. MEDICAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORNELIA KRIEGER (PROVDER COORDINATOR)
(914) 328-8077
Entity
Organization

Contact information

Practice address
3804 31ST AVE, ASTORIA, NY 11103-3800
(914) 328-8077
(914) 328-6083
Mailing address
174 GRAND ST, WHITE PLAINS, NY 10601-4803
(914) 328-8077
(914) 328-6083

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
155050
NY

Other

Enumeration date
07/20/2006
Last updated
04/23/2008
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