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Organization
MJL MEDICAL HEALTHCARE P.C.
Active
Organization
MJL MEDICAL HEALTHCARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOSEPH LODESPOTO M.D. (PRESIDENT)
(631) 665-1439
Entity
Organization
Contact information
Practice address
200 HOWELLS RD, BAY SHORE, NY 11706-5351
(631) 665-1439
(631) 665-1383
Mailing address
200 HOWELLS RD, BAY SHORE, NY 11706-5351
(631) 665-1439
(631) 665-1383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
171063
NY
208600000X
Surgery Physician
171063
NY
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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