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Organization
SOUTH SHORE MEDICAL CARE, PC
Active
Organization
SOUTH SHORE MEDICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ALBERT LEWANDOSKI DO (DOCTOR)
(631) 274-0777
Entity
Organization
Contact information
Practice address
16 VAN COTT RD, SUITE 2E, DEER PARK, NY 11729-6519
(631) 274-0777
(631) 274-9499
Mailing address
16 VAN COTT RD, SUITE 2E, DEER PARK, NY 11729-6519
(631) 274-0777
(631) 274-9499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21762
NY
Other
Enumeration date
06/12/2007
Last updated
01/10/2012
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