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Organization
SOUTHEAST MEDICAL
Active
Organization
SOUTHEAST MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILO HERRERA MD (PRESIDENT)
(845) 278-9137
Entity
Organization
Contact information
Practice address
1663 ROUTE 22, BREWSTER, NY 10509-4048
(845) 278-6625
Mailing address
1663 ROUTE 22, BREWSTER, NY 10509-4048
(845) 278-6625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
158219
NY
Other
Enumeration date
10/05/2006
Last updated
06/05/2008
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