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Organization
NEW CHOICE MEDICAL DIAGNOSTICS PC
Active
Organization
NEW CHOICE MEDICAL DIAGNOSTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J LODESPOTO (PRESIDENT)
(646) 428-4270
Entity
Organization
Contact information
Practice address
25710 UNION TPKE, FLORAL PARK, NY 11004-1252
(646) 428-4270
Mailing address
25710 UNION TPKE, FLORAL PARK, NY 11004-1252
(646) 428-4270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
171063-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01418331
—
NY
Enumeration date
03/01/2012
Last updated
03/01/2012
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