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Organization

SW ORTHOPEDIC MEDICAL SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTAL MCKENNA (DIRECTOR)
(718) 362-1411
Entity
Organization

Contact information

Practice address
393 BROADWAY, BROOKLYN, NY 11211-7303
(718) 362-8182
(718) 362-1651
Mailing address
228 E ROUTE 59 # 408, NANUET, NY 10954-2905
(718) 362-1411
(714) 414-1651

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
04/23/2019
Last updated
04/23/2019
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