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Organization

DAVID CARMILI PHYSICIAN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID CARMILI (DIRECTOR OFFICER)
(718) 386-6663
Entity
Organization

Contact information

Practice address
714 SENECA AVE, RIDGEWOOD, NY 11385-2895
(718) 386-6663
Mailing address
714 SENECA AVE, RIDGEWOOD, NY 11385-2895
(718) 386-6663

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
171109
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01023972
NY
Enumeration date
12/05/2006
Last updated
09/12/2022
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