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Organization
TRIUMPH MEDICAL CARE P.L.L.C.
Active
Organization
TRIUMPH MEDICAL CARE P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMANAMHE MASAGBOR M.D. (M.D.)
(516) 255-3773
Entity
Organization
Contact information
Practice address
165 N VILLAGE AVE, SUITE 135, ROCKVILLE CENTRE, NY 11570-3761
(516) 255-3773
(516) 255-3778
Mailing address
165 N VILLAGE AVE, SUITE 135, ROCKVILLE CENTRE, NY 11570-3761
(516) 255-3773
(516) 255-3778
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
262842
NY
2084P0804X
Child & Adolescent Psychiatry Physician
262842
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
262842
NY
Other
Enumeration date
02/21/2014
Last updated
02/25/2014
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