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Organization
INTERNAL MEDICINE SPECIALIST OF NEW YORK P.C
Active
Organization
INTERNAL MEDICINE SPECIALIST OF NEW YORK P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIRAJ UD DIN MD (MD)
(516) 633-6772
Entity
Organization
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
(631) 719-2220
Mailing address
7 TALLEY RD, ROSLYN, NY 11576-2530
(516) 633-6772
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
236531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236531
LICENSE
NY
Enumeration date
04/15/2016
Last updated
04/15/2016
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