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Organization
LOMI&BAXY CORP
Active
Organization
LOMI&BAXY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERA MELADZE (OWNER)
(646) 353-3894
Entity
Organization
Contact information
Practice address
255 DOANE AVE, STATEN ISLAND, NY 10308-1516
(646) 353-3894
Mailing address
255 DOANE AVE, STATEN ISLAND, NY 10308-1516
(646) 353-3894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/25/2024
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