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Organization
MARJORIE J ISDITH DO PC
Active
Organization
MARJORIE J ISDITH DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJORIE J ISDITH D.O. (PHYSICIAN)
(516) 795-5700
Entity
Organization
Contact information
Practice address
20 HICKSVILLE RD, SUITE 5, MASSAPEQUA, NY 11758-5819
(516) 795-5700
(516) 795-5701
Mailing address
20 HICKSVILLE RD, SUITE 5, MASSAPEQUA, NY 11758-5819
(516) 795-5700
(516) 795-5701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
197492
NY
Other
Enumeration date
04/24/2008
Last updated
05/28/2008
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