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Organization
AXOXA NEW VITALITY MEDICAL PC
Active
Organization
AXOXA NEW VITALITY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JURAJ LUKAC M.D. (DIRECTOR)
(646) 862-7091
Entity
Organization
Contact information
Practice address
61 E 86TH ST, NEW YORK, NY 10028-1068
(646) 862-7091
Mailing address
37 SHERMAN AVE, STATEN ISLAND, NY 10301-2301
(347) 857-0755
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
249039
NY
Other
Enumeration date
04/10/2016
Last updated
04/10/2016
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