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Organization
HIGHLAND VALLEY MEDICAL CARE PLLC
Active
Organization
HIGHLAND VALLEY MEDICAL CARE PLLC
Active
Other names
highland valley medical care pllc
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MALEK MANAGER (CREDENTIALING CONTACT)
(631) 413-4765
Entity
Organization
Contact information
Practice address
369 MIDDLE COUNTRY RD STE 1, CORAM, NY 11727-3734
(631) 413-4765
Mailing address
1797 VETERANS MEMORIAL HWY STE 1, ISLANDIA, NY 11749-1537
(631) 413-4765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
06/05/2024
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