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Organization
NORTH SHORE-LIJ MEDICAL,PC
Active
Organization
NORTH SHORE-LIJ MEDICAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON FELDER (MANAGER)
(516) 239-7093
Entity
Organization
Contact information
Practice address
600 NORTHERN BLVD, #100, GREAT NECK, NY 11021-5206
(516) 239-7093
Mailing address
PO BOX 415668, BOSTON, MA 02241-5668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
163880
NY
Other
Enumeration date
03/17/2012
Last updated
07/09/2012
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