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Organization

REFOUA MEDICAL P.C.

Active
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Organization

REFOUA MEDICAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL D REFOUA DO (DO)
(516) 974-3962
Entity
Organization

Contact information

Practice address
935 NORTHERN BLVD STE 105, GREAT NECK, NY 11021-5309
(516) 487-0070
(516) 487-0072
Mailing address
12 WILLOW PL, GREAT NECK, NY 11021-1906
(914) 509-5836
(914) 357-2489

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05231136
NY
Enumeration date
12/17/2018
Last updated
12/17/2018
About Stedi
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