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Organization
NEBOLIT MEDICAL PC
Active
Organization
NEBOLIT MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNA GRISHINA M.D. (DIRECTOR)
(718) 663-8060
Entity
Organization
Contact information
Practice address
4514 BEACH 45TH ST, BROOKLYN, NY 11224-1002
(718) 663-8060
Mailing address
4514 BEACH 45TH ST, BROOKLYN, NY 11224-1002
(718) 663-8060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
221566
NY
Other
Enumeration date
10/23/2006
Last updated
09/13/2007
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