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Organization
ROXANNE G CARFORA, DO, PC
Active
Organization
ROXANNE G CARFORA, DO, PC
Active
Other names
Ageless 360 Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROXANNE G CARFORA DO (PHYSICIAN/MEDICAL DIRECTOR)
(631) 265-9355
Entity
Organization
Contact information
Practice address
694 MOTOR PKWY, SUITE 101, HAUPPAUGE, NY 11788-5175
(631) 265-9355
(631) 864-8504
Mailing address
694 MOTOR PKWY, SUITE 101, HAUPPAUGE, NY 11788-5175
(631) 265-9355
(631) 864-8504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
186098
NY
Other
Enumeration date
10/31/2013
Last updated
04/14/2014
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