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Organization
SAND DOLLAR HEALTH MEDICAL
Active
Organization
SAND DOLLAR HEALTH MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD HUGHES (PRESIDENT)
(718) 951-0484
Entity
Organization
Contact information
Practice address
1706 FLATBUSH AVE, BROOKLYN, NY 11210-3943
(718) 951-0484
Mailing address
1706 FLATBUSH AVE, BROOKLYN, NY 11210-3943
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0016092
NY
207Q00000X
Family Medicine Physician
Primary
2187382
NY
363AM0700X
Medical Physician Assistant
1033449319
NY
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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