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Organization
ISLAND MEDICAL CONSILIUM PLLC
Active
Organization
ISLAND MEDICAL CONSILIUM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANATOLY MEEROVICH M.D. (SOLE MBR)
(718) 998-9890
Entity
Organization
Contact information
Practice address
2279 CONEY ISLAND AVE, BROOKLYN, NY 11223-3337
(718) 998-9890
Mailing address
2279 CONEY ISLAND AVE, BROOKLYN, NY 11223-3337
(718) 998-9890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
280743
NY
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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