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Organization
ALLIED MEDICAL OF NY PC
Active
Organization
ALLIED MEDICAL OF NY PC
Active
Other names
Allied Medical of NY PC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J BARRAVECCHIO D.O. (OWNER)
(973) 942-6005
Entity
Organization
Contact information
Practice address
1 OLD COUNTRY RD STE 285, CARLE PLACE, NY 11514-1824
(973) 942-6005
(973) 942-6009
Mailing address
510 HAMBURG TPKE STE 102, WAYNE, NJ 07470-2033
(973) 942-6005
(973) 942-6009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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