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Organization

ARBOR MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA ROSE HERNANDEZ M.D. (DIRECTOR)
(718) 984-0969
Entity
Organization

Contact information

Practice address
6 PRESLEY ST, STATEN ISLAND, NY 10308-3239
(718) 984-0969
(718) 984-4097
Mailing address
6 PRESLEY ST, STATEN ISLAND, NY 10308-3239
(718) 984-0969
(718) 984-4097

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
166698
NY

Other

Enumeration date
02/27/2007
Last updated
12/20/2012
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