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Organization
N.A.D MEDICAL SERVICES, PLLC
Active
Organization
N.A.D MEDICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANAEL DESIRE D.O (OWNER)
(631) 721-0080
Entity
Organization
Contact information
Practice address
32 HOWARD DR, CORAM, NY 11727-3516
(631) 721-0080
(631) 736-1607
Mailing address
32 HOWARD DR, CORAM, NY 11727-3516
(631) 721-0080
(631) 736-1607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
216602
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
243370
NY
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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