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Organization
LONG ISLAND MEDICAL PRACTICE LLC
Active
Organization
LONG ISLAND MEDICAL PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH K KOUL M.D (OWNER)
(516) 503-7032
Entity
Organization
Contact information
Practice address
41 GREENTREE CIR, WESTBURY, NY 11590-1510
(516) 503-7032
(516) 338-5324
Mailing address
41 GREENTREE CIR, WESTBURY, NY 11590-1510
(516) 503-7032
(516) 338-5324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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